Sidereas, Carolyn W
Sidereas, Carolyn W is an individual health care provider with primary practice located at 2237 Ridge Rd Ste 101, Rockwall TX 75087-5164. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Sidereas, Carolyn W can be contacted via phone (972) 771-3969.Contact Information
Primary practice address
2237 Ridge Rd Ste 101
Rockwall TX 75087-5164
Phone: (972) 771-3969
Fax: (972) 771-8258
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 17879 | Texas |
Profile Details
| NPI number | 1790779726 |
|---|---|
| LBN Legal business name | Sidereas, Carolyn W |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 6th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1790779726 | NPPES |
| Texas | Other | 17879 | LPC LICENSE# |
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