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NPI Code Detail

MEDICARE: BETTY BRIGMAN COLLINS LPC

MEDICARE: BETTY BRIGMAN COLLINS LPC
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
1101YP2500XProfessional Counselor13890TX

General Provider Information

NPI Number : 1902110406
Entity Type Code : Individual
Provider Name (Legal Business Name) : BETTY BRIGMAN COLLINS LPC
Provider Business Mailing Address
First Line : 1720 OAK VILLAGE BLVD
Second Line : SUITE 200A
City : ARLINGTON
State : TX
Zip : 76017-7952
Country : US
Telephone Number : 817-703-2737
Fax Number : 817-704-4672
Provider Business Practice Location Address
First Line : 1720 OAK VILLAGE BLVD
Second Line : SUITE 200A
City : ARLINGTON
State : TX
Zip : 76017-7952
Country : US
Telephone Number : 817-703-2737
Fax Number : 817-704-4672
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2010
Last Update Date : 07/27/2010

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Directions to “ BETTY BRIGMAN COLLINS LPC” Practice Location

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