Cothran, Leah Klyce

Cothran, Leah Klyce is an sole proprietor health care provider with primary practice located at 4200 S Hulen St Ste 674 , Fort Worth TX 76109-4987. She recently has 2 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 / Mental Health is her primary health care specialty. Cothran, Leah Klyce can be contacted via phone (682) 231-3834.

Contact Information

Primary practice address
4200 S Hulen St Ste 674 Fort Worth TX 76109-4987
Phone: (682) 231-3834
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 14448 Texas
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 73729 Texas

Profile Details

NPI number 1215551031
LBN Legal business name Cothran, Leah Klyce
Credentials LPC, LCDC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2020
Last updated Jun 8th, 2020 - about 5 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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