Graham, Vicki Lynn
Graham, Vicki Lynn is an sole proprietor health care provider with primary practice located at 1626 W Highway 287 Business Suite 104, Waxahachie TX 75165-4712. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Graham, Vicki Lynn can be contacted via phone (972) 935-0027.Contact Information
Primary practice address
1626 W Highway 287 Business Suite 104
Waxahachie TX 75165-4712
Phone: (972) 935-0027
Fax: (972) 937-9906
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 11300 | Texas |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 3260 | Texas |
Profile Details
| NPI number | 1316086135 |
|---|---|
| LBN Legal business name | Graham, Vicki Lynn |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 6th, 2007 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316086135 | NPPES |
| Texas | Other | 131262 | NORTH STAR -VALUE OPTIONS |
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