Willcott, Earline F
Willcott, Earline F is an sole proprietor health care provider with primary practice located at 1322 Space Park Dr Suite C105, Houston TX 77058. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Willcott, Earline F can be contacted via phone (281) 218-7346.Contact Information
Primary practice address
1322 Space Park Dr Suite C105
Houston TX 77058
Phone: (281) 218-7346
Fax: (281) 286-3015
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 04780 | Texas |
Profile Details
| NPI number | 1083612766 |
|---|---|
| LBN Legal business name | Willcott, Earline F |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 7th, 2005 |
| Last updated | Dec 19th, 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 | 1083612766 | NPPES |
| Texas | Other | 0052CY | BLUE CROSS BLUE SHIELD |
| Texas | Other | S69504 | BLUE CROSS BLUE SHIELD |
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