Dake, Thea

Dake, Thea is an individual health care provider with primary practice located at 310 Stagecoach Trl Suite 300, San Marcos TX 78666-5134. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Dake, Thea can be contacted via phone (512) 392-3398.

Contact Information

Primary practice address
310 Stagecoach Trl Suite 300 San Marcos TX 78666-5134
Phone: (512) 392-3398
Fax: (512) 392-2890
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 00365 Texas

Profile Details

NPI number 1326031592
LBN Legal business name Dake, Thea
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326031592 NPPES
Texas Other 86463Q BLUE CROSS BLUE SHIELD

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