Polo, Lilliam

Polo, Lilliam is an sole proprietor health care provider with primary practice located at 1626 W Hwy 287 Bus Ste 101 , Waxahachie TX 75165-4728. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Specialist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Polo, Lilliam can be contacted via phone (214) 864-6988.

Contact Information

Primary practice address
1626 W Hwy 287 Bus Ste 101 Waxahachie TX 75165-4728
Phone: (214) 864-6988
Fax: (972) 906-9112
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 12045 Texas
Other Service Providers / Specialist 174400000X 12045 Texas
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 12045 Texas

Profile Details

NPI number 1134587314
LBN Legal business name Polo, Lilliam
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 3rd, 2016
Last updated Apr 15th, 2020 - about 6 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 1134587314 NPPES
Texas MEDICAID 1013287721

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