Ongley, Gary T

Ongley, Gary T is an sole proprietor health care provider with primary practice located at 1901 Central Dr Ste 315, Bedford TX 76021-5869. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Ongley, Gary T can be contacted via phone (817) 919-7351.

Contact Information

Primary practice address
1901 Central Dr Ste 315 Bedford TX 76021-5869
Phone: (817) 919-7351
Fax: (817) 684-9979
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X S14689 Texas
Behavioral Health & Social Service Providers / Professional 101YP2500X 9401 Texas

Profile Details

NPI number 1134322209
LBN Legal business name Ongley, Gary T
Credentials LPC, LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 7th, 2007
Last updated Sep 30th, 2016 - about 10 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 1134322209 NPPES
Texas Other 1545LC BLUE CROSS BLUESHIELD ID
Texas MEDICAID 064069001 BLUE CROSS BLUESHIELD ID
Texas Other 014689 BLUE CROSS BLUESHIELD ID

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