Gardner-Wilson, Doris

Gardner-Wilson, Doris is an sole proprietor health care provider with primary practice located at 14825 Saint Marys Ln Ste 122 , Houston TX 77079-2989. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Gardner-Wilson, Doris can be contacted via phone (832) 489-1998.

Contact Information

Primary practice address
14825 Saint Marys Ln Ste 122 Houston TX 77079-2989
Phone: (832) 489-1998
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 9650 Texas
Behavioral Health & Social Service Providers / Social Worker 104100000X 58672 Texas
Behavioral Health & Social Service Providers / Clinical 1041C0700X 58672 Texas

Profile Details

NPI number 1316368434
LBN Legal business name Gardner-Wilson, Doris
Credentials LCSW, LCDC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 16th, 2013
Last updated Jan 25th, 2023 - 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 1316368434 NPPES
Texas Other 13255920 TEXAS DRIVERS LICENSE

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