Whiteside, Penny Jill
Whiteside, Penny Jill is an sole proprietor health care provider with primary practice located at 350 Pine St Ste 760 , Beaumont TX 77701-2421. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Whiteside, Penny Jill can be contacted via phone (409) 291-4650.Contact Information
Primary practice address
350 Pine St Ste 760
Beaumont TX 77701-2421
Phone: (409) 291-4650
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 70933 | Texas |
Profile Details
| NPI number | 1497153902 |
|---|---|
| LBN Legal business name | Whiteside, Penny Jill |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 15th, 2014 |
| Last updated | May 24th, 2019 - about 7 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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