Short, Colleen Acadia

Short, Colleen Acadia is an sole proprietor health care provider with primary practice located at 814 Gilmer Rd Ste 1 , Longview TX 75604-3614. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Short, Colleen Acadia can be contacted via phone (903) 692-3724.

Contact Information

Primary practice address
814 Gilmer Rd Ste 1 Longview TX 75604-3614
Phone: (903) 692-3724
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LH61185743 Washington
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X LF61280351 Washington
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 204896 Texas

Profile Details

NPI number 1033531454
LBN Legal business name Short, Colleen Acadia
Credentials LMFT, LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 21st, 2014
Last updated Jan 13th, 2024 - about 10 months 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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Identifiers

StateTypeNumberIssuer
All States NPI 1033531454 NPPES
Other 15394067 CAQH

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