Crothers, Imelda Jean

Crothers, Imelda Jean is an sole proprietor health care provider with primary practice located at 52 Richland Dr , Belton TX 76513-5769. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Crothers, Imelda Jean can be contacted via phone (254) 654-0055.

Contact Information

Primary practice address
52 Richland Dr Belton TX 76513-5769
Phone: (254) 654-0055
Fax: (800) 747-3074
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 55289 Texas
Behavioral Health & Social Service Providers / Clinical 1041C0700X LW61626650 Washington

Profile Details

NPI number 1982135059
LBN Legal business name Crothers, Imelda Jean
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 21st, 2017
Last updated Jan 14th, 2025 - about last year

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 1982135059 NPPES
Texas Other 55289 TX LCSW LICENSE

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