Wynn, Carla J

Wynn, Carla J is an individual health care provider with primary practice located at 1610 Woodstead Ct Ste 420 , The Woodlands TX 77380-3404. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wynn, Carla J can be contacted via phone (281) 363-4220.

Contact Information

Primary practice address
1610 Woodstead Ct Ste 420 The Woodlands TX 77380-3404
Phone: (281) 363-4220
Fax: (281) 364-9404
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 32044 Texas

Profile Details

NPI number 1245342641
LBN Legal business name Wynn, Carla J
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jul 8th, 2007 - about 18 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 1245342641 NPPES
Texas Other 0018NU BC BS OF TEXAS
Texas Other 241041 BC BS OF TEXAS

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