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NPI Code Detail

MEDICARE: BEN E HARGROVE LPC, LMFT

MEDICARE: BEN E HARGROVE LPC, LMFT
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 Counselor1104TX
2101YP2500XProfessional Counselor4186TX

General Provider Information

NPI Number : 1477565802
Entity Type Code : Individual
Provider Name (Legal Business Name) : BEN E HARGROVE LPC, LMFT
Provider Business Mailing Address
First Line : 1715 STERLING CREEK CT
Second Line :
City : LEAGUE CITY
State : TX
Zip : 77573-3021
Country : US
Telephone Number : 281-332-4273
Fax Number : 281-332-4273
Provider Business Practice Location Address
First Line : 1715 STERLING CREEK CT
Second Line :
City : LEAGUE CITY
State : TX
Zip : 77573-3021
Country : US
Telephone Number : 281-332-4273
Fax Number : 281-332-4273
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2006
Last Update Date : 07/08/2007

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Directions to “ BEN E HARGROVE LPC, LMFT” Practice Location

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