Lister, Renee
Lister, Renee is an sole proprietor health care provider with primary practice located at 423 W Wheatland Rd Ste 101 , Duncanville TX 75116-4630. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Lister, Renee can be contacted via phone (214) 417-8706.Contact Information
Primary practice address
423 W Wheatland Rd Ste 101
Duncanville TX 75116-4630
Phone: (214) 417-8706
Fax: (972) 224-2429
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 58266 | Texas |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 58266 | Texas |
Profile Details
| NPI number | 1639216948 |
|---|---|
| LBN Legal business name | Lister, Renee |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 30th, 2007 |
| Last updated | Dec 30th, 2018 - about 8 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 | 1639216948 | NPPES |
| Texas | MEDICAID | 185581902 |
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