Randolph-Graham, Monica L

Randolph-Graham, Monica L is an sole proprietor health care provider with primary practice located at 5360 Kelly Dr , Roanoke TX 76262-3617. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Randolph-Graham, Monica L can be contacted via phone (817) 714-6439.

Contact Information

Primary practice address
5360 Kelly Dr Roanoke TX 76262-3617
Phone: (817) 714-6439
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 19708 Texas
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 19708 Texas

Profile Details

NPI number 1659549137
LBN Legal business name Randolph-Graham, Monica L
Credentials PSYD, LPC-S
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 18th, 2008
Last updated Jun 25th, 2012 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1659549137 NPPES
Texas Other 88600L BLUECROSSBLUESHIELD PROV#

Popular Providers