Ellason, Joan Weathersbee

Ellason, Joan Weathersbee is an sole proprietor health care provider with primary practice located at 101 E Park Blvd Suite #640, Plano TX 75074-5483. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Ellason, Joan Weathersbee can be contacted via phone (469) 831-4548.

Contact Information

Primary practice address
101 E Park Blvd Suite #640 Plano TX 75074-5483
Phone: (469) 831-4548
Fax: (972) 918-9069
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Professional 101YP2500X 12612 Texas

Profile Details

NPI number 1396801403
LBN Legal business name Ellason, Joan Weathersbee
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 1st, 2007
Last updated Feb 26th, 2024 - about 2 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 1396801403 NPPES
Texas MEDICAID 028532201
Texas MEDICAID LP0053283

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