Porterfield, Ava Louise

Porterfield, Ava Louise is an sole proprietor health care provider with primary practice located at 506 East 28Th St , Bryan TX 77803-4029. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Porterfield, Ava Louise can be contacted via phone (979) 224-0832.

Contact Information

Primary practice address
506 East 28Th St Bryan TX 77803-4029
Phone: (979) 224-0832
Fax: (979) 450-7896
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 14265 Texas
Behavioral Health & Social Service Providers / Counselor 101Y00000X 14265 Texas

Profile Details

NPI number 1538177621
LBN Legal business name Porterfield, Ava Louise
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 4th, 2006
Last updated May 19th, 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 1538177621 NPPES
Texas Other 84919L BCBS OF TX

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