Mancuso, Annette
Mancuso, Annette is an sole proprietor health care provider with primary practice located at 2401 Mustang Dr Suite 200, Grapevine TX 76051-8640. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Mancuso, Annette can be contacted via phone (817) 481-7474.Contact Information
Primary practice address
2401 Mustang Dr Suite 200
Grapevine TX 76051-8640
Phone: (817) 481-7474
Fax: (817) 416-0900
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 15838 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP135862 | Texas |
Profile Details
| NPI number | 1679694277 |
|---|---|
| LBN Legal business name | Mancuso, Annette |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 2nd, 2007 |
| Last updated | Nov 28th, 2017 - about 9 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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