Wisneski, Susan Liles
Wisneski, Susan Liles is an sole proprietor health care provider with primary practice located at 4054 Mckinney Ave Ste 102 , Dallas TX 75204-2050. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Wisneski, Susan Liles can be contacted via phone (214) 520-6308.Contact Information
Primary practice address
4054 Mckinney Ave Ste 102
Dallas TX 75204-2050
Phone: (214) 520-6308
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC 15264 | Texas |
Profile Details
| NPI number | 1134159908 |
|---|---|
| LBN Legal business name | Wisneski, Susan Liles |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 4th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1134159908 | NPPES |
| Other | 84066L | BC/BS | |
| Other | 9370750 | BC/BS |
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