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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780661470 | NPPES |
| Texas | MEDICAID | 0290363-02 | |
| Texas | Other | 029036301 | |
| Texas | MEDICAID | 0290363-01 |
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