=====================================================
General NPI Number Information
=====================================================
NPI Number | 1477154417
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BOOKS AND STERLING LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/05/2020
-----------------------------------------------------
Last Update Date | 11/05/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1810 8TH AVE # A102
-----------------------------------------------------
City | FORT WORTH
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 76110-1352
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 682-232-4573
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4401 THOUSAND OAKS DR
-----------------------------------------------------
City | ARLINGTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 76017-1332
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 682-232-4573
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MEMBER
-----------------------------------------------------
Name | MS. STEPHANIE BOOKS
-----------------------------------------------------
Credential | LCSW
-----------------------------------------------------
Telephone | 817-821-5985
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------