Healthcare Provider Details

I. General information

NPI: 1972738086
Provider Name (Legal Business Name): ELIZABETH V. MEWHINNEY LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: BETH MEWHINNEY LPC

II. Dates (important events)

Enumeration Date: 05/18/2009
Last Update Date: 05/18/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

409 S GRAHAM ST
STEPHENVILLE TX
76401-4425
US

IV. Provider business mailing address

409 S GRAHAM ST
STEPHENVILLE TX
76401-4425
US

V. Phone/Fax

Practice location:
  • Phone: 254-592-4244
  • Fax:
Mailing address:
  • Phone: 254-592-4244
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number14178
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: