Evans, John S

Evans, John S is an sole proprietor health care provider with primary practice located at 2201 S Clear Creek Rd Metroplex Pavilion Suite A-18, Killeen TX 76549-4110. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Evans, John S can be contacted via phone (254) 563-5572.

Contact Information

Primary practice address
2201 S Clear Creek Rd Metroplex Pavilion Suite A-18 Killeen TX 76549-4110
Phone: (254) 563-5572
Fax: (254) 778-1599
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 13606 Texas
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 460 Texas

Profile Details

NPI number 1477856524
LBN Legal business name Evans, John S
Credentials LCSW, LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 13th, 2010
Last updated Sep 1st, 2011 - about 15 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 1477856524 NPPES
Texas MEDICAID 0257750

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