Shaw, Carrie Beth
Shaw, Carrie Beth is an sole proprietor health care provider with primary practice located at 208 Pine Tree Rd , Longview TX 75604-4104. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Shaw, Carrie Beth can be contacted via phone (903) 235-5862.Contact Information
Primary practice address
208 Pine Tree Rd
Longview TX 75604-4104
Phone: (903) 235-5862
Fax: (903) 295-3094
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 16092 | Texas |
Profile Details
| NPI number | 1578780912 |
|---|---|
| LBN Legal business name | Shaw, Carrie Beth |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 19th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578780912 | NPPES |
| Texas | MEDICAID | 177591801 |
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