White, Shelley J.

White, Shelley J. is an sole proprietor health care provider with primary practice located at 5410 Bell St Ste 414 , Amarillo TX 79109-6222. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. White, Shelley J. can be contacted via phone (806) 670-3755.

Contact Information

Primary practice address
5410 Bell St Ste 414 Amarillo TX 79109-6222
Phone: (806) 670-3755
Fax: (806) 383-8789
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 16517 Texas

Profile Details

NPI number 1780661470
LBN Legal business name White, Shelley J.
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 23rd, 2005
Last updated Jul 21st, 2022 - about 2 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 1780661470 NPPES
Texas MEDICAID 0290363-02
Texas Other 029036301
Texas MEDICAID 0290363-01

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