Interian-Boysselle, Brenda
Interian-Boysselle, Brenda is an sole proprietor health care provider with primary practice located at 1514 N Greenville Ave Ste 310 , Allen TX 75002-1205. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Interian-Boysselle, Brenda can be contacted via phone (903) 372-0843.Contact Information
Primary practice address
1514 N Greenville Ave Ste 310
Allen TX 75002-1205
Phone: (903) 372-0843
Fax: (469) 854-4998
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 62135 | Texas |
Profile Details
| NPI number | 1225221757 |
|---|---|
| LBN Legal business name | Interian-Boysselle, Brenda |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 17th, 2007 |
| Last updated | Dec 1st, 2021 - about 5 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 | 1225221757 | NPPES |
| Texas | MEDICAID | 187164201 | |
| Texas | Other | 1225221757 |
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