Elliott, Tausha Bradshaw

Elliott, Tausha Bradshaw is an sole proprietor health care provider with primary practice located at 6010 E Hwy 191 Suite 120, Odessa TX 79762-5070. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Elliott, Tausha Bradshaw can be contacted via phone (432) 552-0230.

Contact Information

Primary practice address
6010 E Hwy 191 Suite 120 Odessa TX 79762-5070
Phone: (432) 552-0230
Fax: (432) 552-0333
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 10811 Texas

Profile Details

NPI number 1871550731
LBN Legal business name Elliott, Tausha Bradshaw
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 26th, 2006
Last updated Dec 5th, 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 1871550731 NPPES
Texas Other 3704LC BLUECROSSBLUESHIELD
Texas Other 10811 BLUECROSSBLUESHIELD

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