Weeks, Susan
Weeks, Susan is an sole proprietor health care provider with primary practice located at 5608 Malvey Ave Suite 306, Fort Worth TX 76107-5100. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Marriage & Family Therapist, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Weeks, Susan can be contacted via phone (817) 737-5599.Contact Information
Primary practice address
5608 Malvey Ave Suite 306
Fort Worth TX 76107-5100
Phone: (817) 737-5599
Fax: (817) 737-5757
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 3902 | Texas |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 1815 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 364SP0808X | 520122 | Texas |
Profile Details
| NPI number | 1598882359 |
|---|---|
| LBN Legal business name | Weeks, Susan |
| Credentials | MS, RN, LMFT, LCDC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 24th, 2007 |
| Last updated | Sep 7th, 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 | 1598882359 | NPPES |
| Texas | MEDICAID | CCP004944 |
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