White, Larissa
White, Larissa is an sole proprietor health care provider with primary practice located at 11214 Overland Trail Dr , Richmond TX 77406-3983. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. White, Larissa can be contacted via phone (713) 502-8868.Contact Information
Primary practice address
11214 Overland Trail Dr
Richmond TX 77406-3983
Phone: (713) 502-8868
Fax: (281) 371-6657
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 69268 | Texas |
Profile Details
| NPI number | 1447671540 |
|---|---|
| LBN Legal business name | White, Larissa |
| Credentials | M.ED., L.P.C. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 17th, 2013 |
| Last updated | May 30th, 2023 - about last year |
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 | 1447671540 | NPPES |
| Texas | MEDICAID | 327001902 | |
| Texas | MEDICAID | 327001903 |
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