White, Tamra
White, Tamra is an sole proprietor health care provider with primary practice located at 2485 E Southlake Blvd Suite 180, Southlake TX 76092-6686. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. White, Tamra can be contacted via phone (940) 224-0105.Contact Information
Primary practice address
2485 E Southlake Blvd Suite 180
Southlake TX 76092-6686
Phone: (940) 224-0105
Fax: (817) 488-9656
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 16685 | Texas |
Profile Details
| NPI number | 1366441578 |
|---|---|
| LBN Legal business name | White, Tamra |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 19th, 2005 |
| Last updated | Nov 11th, 2010 - about 14 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 | 1366441578 | NPPES |
| Texas | Other | 286692 | MHN |
| Texas | Other | 123743 | MHN |
| Texas | Other | 7856443 | MHN |
| Texas | MEDICAID | 145671701 | MHN |
| Texas | Other | 6137LC | MHN |
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