Maxwell, James S

Maxwell, James S is an individual health care provider with primary practice located at 5902 Laird Dr , Austin TX 78757-3231. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Maxwell, James S can be contacted via phone (512) 454-1850.

Contact Information

Primary practice address
5902 Laird Dr Austin TX 78757-3231
Phone: (512) 454-1850
Fax: (512) 453-2707
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 11738 Texas

Profile Details

NPI number 1144217522
LBN Legal business name Maxwell, James S
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2005
Last updated Jul 8th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144217522 NPPES
Texas Other 2682LC BLUECROSS BLUE SHIELD ID

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