Wayne, Courtney Samantha
Wayne, Courtney Samantha is an individual health care provider with primary practice located at 2300 Marie Curie Dr , Garland TX 75042-5706. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wayne, Courtney Samantha can be contacted via phone (214) 742-8387.Contact Information
Primary practice address
2300 Marie Curie Dr
Garland TX 75042-5706
Phone: (214) 742-8387
Fax: (817) 730-0910
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 65528 | Texas |
Profile Details
| NPI number | 1588263602 |
|---|---|
| LBN Legal business name | Wayne, Courtney Samantha |
| Credentials | MA, LCSW, CCM |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 20th, 2020 |
| Last updated | Jul 7th, 2021 - about 4 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 | 1588263602 | NPPES |
| Texas | Other | 65528 | LSCW |
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