Capo, Tom W
Capo, Tom W is an individual health care provider with primary practice located at 18333 Egret Bay Blvd Ste 305, Houston TX 77058-3265. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Capo, Tom W can be contacted via phone (281) 333-5740.Contact Information
Primary practice address
18333 Egret Bay Blvd Ste 305
Houston TX 77058-3265
Phone: (281) 333-5740
Fax: (281) 333-4013
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 2008 | Texas |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 09975 | Texas |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 001751-041825 | Texas |
Profile Details
| NPI number | 1912901349 |
|---|---|
| LBN Legal business name | Capo, Tom W |
| Credentials | MA, LPC, LMFT, LCDC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2005 |
| 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 | 1912901349 | NPPES |
| Texas | MEDICAID | 95460401 | |
| Texas | Other | LC 09975 | |
| Texas | Other | LCDC 2008 | |
| Texas | Other | LMFT 001751-041825 |
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