MEDICARE: MRS. JOSEPHINE B. BURLESON L P C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	11299	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	06097LC	OTHER	TX	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1366512329
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JOSEPHINE B. BURLESON L P C

Provider Business Mailing Address
First Line	:	3212 COLLINSWORTH ST
Second Line	:	STE 101
City	:	FORT WORTH
State	:	TX
Zip	:	76107-6580
Country	:	US
Telephone Number	:	817-877-3707
Fax Number	:	817-810-9585

Provider Business Practice Location Address
First Line	:	3212 COLLINSWORTH ST
Second Line	:	STE 101
City	:	FORT WORTH
State	:	TX
Zip	:	76107-6580
Country	:	US
Telephone Number	:	817-877-3707
Fax Number	:	817-810-9585

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/08/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1518905132 — MR. MARGARET LIPHAM BLAKELY MED, LPC
Practice Location Address:

3212 COLLINSWORTH ST , SUITE 101
FORT WORTH, TX
76107-6580

Practice Phone: 817-877-3707
Practice Fax: 817-810-9585

1346254513 — MRS. LORRAINE SIMON BRADEN LCSW, LMFT
Practice Location Address:

3212 COLLINSWORTH ST , SUITE 1
FORT WORTH, TX
76107-6580

Practice Phone: 817-877-3707
Practice Fax: 817-810-9585

1134207640 — LISA ANNE HARAM-ATKINSON M.ED., LPC, LCDC
Practice Location Address:

3212 COLLINSWORTH ST , SUITE 5
FORT WORTH, TX
76107-6580

Practice Phone: 817-991-8636
Practice Fax: 817-810-9585

1225450893 — HANNINGTON MASSAGE, LLC
Practice Location Address:

3212 COLLINSWORTH ST , SUITE 14
FORT WORTH, TX
76107-6580

Practice Phone: 817-405-9540
Practice Fax:

1477909158 — DEPRESSION CONNECTION FOR RECOVERY
Practice Location Address:

3212 COLLINSWORTH ST , SUITE 3A
FORT WORTH, TX
76107-6580

Practice Phone: 817-810-9599
Practice Fax:

1023394376 — MRS. ANGELA KAE HESSELBROCK LPC
Practice Location Address:

3212 COLLINSWORTH ST , SUITE 22
FT WORTH, TX
76107-6580

Practice Phone: 817-343-1553
Practice Fax:

Directions to “ MRS. JOSEPHINE B. BURLESON L P C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.