Healthcare Provider Details

I. General information

NPI: 1801157326
Provider Name (Legal Business Name): BEVERLY K MCKEE LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2012
Last Update Date: 05/31/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3920 ALMA DR
PLANO TX
75023-6748
US

IV. Provider business mailing address

1416 N CHURCH ST
MCKINNEY TX
75069-1806
US

V. Phone/Fax

Practice location:
  • Phone: 972-422-5939
  • Fax: 972-509-0923
Mailing address:
  • Phone: 972-562-0190
  • Fax: 972-562-3647

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number66841
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: