Kidwell, Candace T
Kidwell, Candace T is an sole proprietor health care provider with primary practice located at 6226 Colleyville Blvd Ste A , Colleyville TX 76034-6277. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kidwell, Candace T can be contacted via phone (682) 225-7871.Contact Information
Primary practice address
6226 Colleyville Blvd Ste A
Colleyville TX 76034-6277
Phone: (682) 225-7871
Fax: (817) 310-0877
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 33930 | Texas |
Profile Details
| NPI number | 1154408706 |
|---|---|
| LBN Legal business name | Kidwell, Candace T |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Jul 28th, 2008 - about 18 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 | 1154408706 | NPPES |
| Other | 1336198894 | GRP NPI NUMBER | |
| MEDICAID | 162254001 | GRP NPI NUMBER | |
| Other | 10012335 | GRP NPI NUMBER | |
| Other | 1815750 | GRP NPI NUMBER | |
| Other | 00G981 | GRP NPI NUMBER | |
| Other | 9079924 | GRP NPI NUMBER | |
| Other | 124220 | GRP NPI NUMBER | |
| Other | 87082Q | GRP NPI NUMBER |
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