Bean, Carol Holiday
Bean, Carol Holiday is an sole proprietor health care provider with primary practice located at 7801 Oakmont Blvd Ste 101 , Fort Worth TX 76132-4242. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Bean, Carol Holiday can be contacted via phone (682) 841-1475.Contact Information
Primary practice address
7801 Oakmont Blvd Ste 101
Fort Worth TX 76132-4242
Phone: (682) 841-1475
Fax: (682) 708-3775
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 37244 | Texas |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 37244 | Texas |
Profile Details
| NPI number | 1518392075 |
|---|---|
| LBN Legal business name | Bean, Carol Holiday |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 3rd, 2013 |
| Last updated | Oct 11th, 2023 - about 3 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 | 1518392075 | NPPES |
| Texas | MEDICAID | 3675902-01 |
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