Levens, Jack Loren

Levens, Jack Loren is an sole proprietor health care provider with primary practice located at 3745 Canyon Heights Rd , Belton TX 76513-5137. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Levens, Jack Loren can be contacted via phone (254) 681-8919.

Contact Information

Primary practice address
3745 Canyon Heights Rd Belton TX 76513-5137
Phone: (254) 681-8919
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X S20968 Texas

Profile Details

NPI number 1790713642
LBN Legal business name Levens, Jack Loren
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 29th, 2006
Last updated Aug 12th, 2019 - about 7 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 1790713642 NPPES
Texas MEDICAID 1485062-01
Texas Other 247611

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