Gilmore, Theresa M.

Gilmore, Theresa M. is an individual health care provider with primary practice located at 26 Purple Martin Pl , The Woodlands TX 77381-6428. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gilmore, Theresa M. can be contacted via phone (936) 273-4706.

Contact Information

Primary practice address
26 Purple Martin Pl The Woodlands TX 77381-6428
Phone: (936) 273-4706
Fax: (936) 273-4706
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 32642 Texas

Profile Details

NPI number 1679503015
LBN Legal business name Gilmore, Theresa M.
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
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 1679503015 NPPES
Texas Other 87162Q BLUE CROSS BLUE SHIELD

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