Wade, Michael Keith
Wade, Michael Keith is an sole proprietor health care provider with primary practice located at 2104 E Yandell Dr Ste 9 , El Paso TX 79903-3517. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Wade, Michael Keith can be contacted via phone (915) 277-0300.Contact Information
Primary practice address
2104 E Yandell Dr Ste 9
El Paso TX 79903-3517
Phone: (915) 277-0300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 68877 | Texas |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 68877 | Texas |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 68877 | Texas |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 68877 | Texas |
Profile Details
| NPI number | 1053741173 |
|---|---|
| LBN Legal business name | Wade, Michael Keith |
| Credentials | LPC-S |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 27th, 2013 |
| Last updated | Aug 27th, 2022 - 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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