Lichtenstein, Kyna Baskin

Lichtenstein, Kyna Baskin is an sole proprietor health care provider with primary practice located at 4555 Lake Shore Dr , Waco TX 76710-1814. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Lichtenstein, Kyna Baskin can be contacted via phone (254) 751-0400.

Contact Information

Primary practice address
4555 Lake Shore Dr Waco TX 76710-1814
Phone: (254) 751-0400
Fax: (254) 776-0637
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X 51127 Texas
Behavioral Health & Social Service Providers / Clinical 1041C0700X 51127 Texas

Profile Details

NPI number 1841574209
LBN Legal business name Lichtenstein, Kyna Baskin
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2011
Last updated Apr 30th, 2013 - about 13 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 1841574209 NPPES
Texas MEDICAID 2880353

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