Weeks, Susan

Weeks, Susan is an sole proprietor health care provider with primary practice located at 5608 Malvey Ave Suite 306, Fort Worth TX 76107-5100. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Marriage & Family Therapist, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Weeks, Susan can be contacted via phone (817) 737-5599.

Contact Information

Primary practice address
5608 Malvey Ave Suite 306 Fort Worth TX 76107-5100
Phone: (817) 737-5599
Fax: (817) 737-5757
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 3902 Texas
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 1815 Texas
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X 520122 Texas

Profile Details

NPI number 1598882359
LBN Legal business name Weeks, Susan
Credentials MS, RN, LMFT, LCDC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 24th, 2007
Last updated Sep 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598882359 NPPES
Texas MEDICAID CCP004944

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