Willcott, Earline F

Willcott, Earline F is an sole proprietor health care provider with primary practice located at 1322 Space Park Dr Suite C105, Houston TX 77058. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Willcott, Earline F can be contacted via phone (281) 218-7346.

Contact Information

Primary practice address
1322 Space Park Dr Suite C105 Houston TX 77058
Phone: (281) 218-7346
Fax: (281) 286-3015
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 04780 Texas

Profile Details

NPI number 1083612766
LBN Legal business name Willcott, Earline F
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2005
Last updated Dec 19th, 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 1083612766 NPPES
Texas Other 0052CY BLUE CROSS BLUE SHIELD
Texas Other S69504 BLUE CROSS BLUE SHIELD

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