Vines, Diane Teresa

Vines, Diane Teresa is an sole proprietor health care provider with primary practice located at 24410 Glenthorpe Ct , Katy TX 77494-4523. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Vines, Diane Teresa can be contacted via phone (713) 854-6115.

Contact Information

Primary practice address
24410 Glenthorpe Ct Katy TX 77494-4523
Phone: (713) 854-6115
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 16863 Texas

Profile Details

NPI number 1144391467
LBN Legal business name Vines, Diane Teresa
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 10th, 2006
Last updated Apr 6th, 2016 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1144391467 NPPES
Texas MEDICAID 151734401

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