Individual
MRS. MARY BOB SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
703 E MARSHALL AVE, SUITE 4002, LONGVIEW, TX 75601-5500
(903) 234-9556
(903) 663-0378
Mailing address
PO BOX 6733, LONGVIEW, TX 75608-6733
(903) 234-9556
(903) 663-0378
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
10164
TX
106H00000X
Marriage & Family Therapist
Primary
002974-036483
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3318LC
BCBS TEXAS
—
Enumeration date
08/11/2006
Last updated
09/11/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us