Ortiz, Shauna Nicole
Ortiz, Shauna Nicole is an sole proprietor health care provider with primary practice located at 3129 Lazy Palm Dr N , Harlingen TX 78552-4218. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Ortiz, Shauna Nicole can be contacted via phone (956) 536-5551.Contact Information
Primary practice address
3129 Lazy Palm Dr N
Harlingen TX 78552-4218
Phone: (956) 536-5551
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 61516 | Texas |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 61516 | Texas |
Profile Details
| NPI number | 1437342300 |
|---|---|
| LBN Legal business name | Ortiz, Shauna Nicole |
| Credentials | M.ED., LPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 23rd, 2007 |
| Last updated | Jul 20th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437342300 | NPPES |
| Texas | MEDICAID | 138708611 |
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