Wildey, Constance Elaine
Wildey, Constance Elaine is an sole proprietor health care provider with primary practice located at 2200 Market St Ste 412 , Galveston TX 77550-1532. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wildey, Constance Elaine can be contacted via phone (409) 765-6321.Contact Information
Primary practice address
2200 Market St Ste 412
Galveston TX 77550-1532
Phone: (409) 765-6321
Fax: (409) 762-9151
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LMSW 03248 | Texas |
Profile Details
| NPI number | 1639289440 |
|---|---|
| LBN Legal business name | Wildey, Constance Elaine |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Jul 8th, 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 | 1639289440 | NPPES |
| Texas | Other | 871291Q | BLUE CROSS/BLUE SHIELD |
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