Pool, Tommy Lewis

Pool, Tommy Lewis is an sole proprietor health care provider with primary practice located at 2516 59Th St , Lubbock TX 79413-5638. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Pool, Tommy Lewis can be contacted via phone (324) 653-4981.

Contact Information

Primary practice address
2516 59Th St Lubbock TX 79413-5638
Phone: (324) 653-4981
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 10857 Texas
Behavioral Health & Social Service Providers / Professional 101YP2500X 65821 Texas

Profile Details

NPI number 1407088412
LBN Legal business name Pool, Tommy Lewis
Credentials LPC, LCDC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 10th, 2009
Last updated Aug 2nd, 2023 - about 3 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 1407088412 NPPES
Texas Other 12285614 CAQH
Texas Other 10857 CAQH
Texas Other 65821 CAQH
Texas MEDICAID 2813990 CAQH

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