Slate, Genevia Raylene
Slate, Genevia Raylene is an sole proprietor health care provider with primary practice located at 1901 E 37Th St Ste 111E , Odessa TX 79762-6216. She 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 her primary health care specialty. Slate, Genevia Raylene can be contacted via phone (432) 425-6978.Contact Information
Primary practice address
1901 E 37Th St Ste 111E
Odessa TX 79762-6216
Phone: (432) 425-6978
Fax: (432) 366-0880
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 9780 | Texas |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 69274 | Texas |
Profile Details
| NPI number | 1184031551 |
|---|---|
| LBN Legal business name | Slate, Genevia Raylene |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 17th, 2014 |
| Last updated | Sep 15th, 2022 - about 4 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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