Stutts, Donna
Stutts, Donna is an individual health care provider with primary practice located at 124 W Pioneer Pkwy Ste 120 , Arlington TX 76010-6146. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Stutts, Donna can be contacted via phone (817) 795-8278.Contact Information
Primary practice address
124 W Pioneer Pkwy Ste 120
Arlington TX 76010-6146
Phone: (817) 795-8278
Fax: (817) 795-8279
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 12665 | Texas |
Profile Details
| NPI number | 1215575121 |
|---|---|
| LBN Legal business name | Stutts, Donna |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 11th, 2019 |
| Last updated | Dec 11th, 2019 - about 5 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 | 1215575121 | NPPES |
| Texas | Other | 12665 | LCDC LICENSE |
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