Shannon, Marvin Boyd
Shannon, Marvin Boyd is an sole proprietor health care provider with primary practice located at 400 N Main St Suite 104, Grapevine TX 76051-3300. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Shannon, Marvin Boyd can be contacted via phone (817) 360-2300.Contact Information
Primary practice address
400 N Main St Suite 104
Grapevine TX 76051-3300
Phone: (817) 360-2300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 64099 | Texas |
Profile Details
| NPI number | 1891054961 |
|---|---|
| LBN Legal business name | Shannon, Marvin Boyd |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 10th, 2012 |
| Last updated | May 10th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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