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NPI Code Detail

MEDICARE: BRENDA BEALL LMSW, LCDC

MEDICARE: BRENDA BEALL LMSW, LCDC
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
1104100000XSocial Worker39034TX
2101YA0400XAddiction (Substance Use Disorder) Counselor15887TX

General Provider Information

NPI Number : 1881869691
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRENDA BEALL LMSW, LCDC
Provider Business Mailing Address
First Line : 6037 ARBOR BND APT 913
Second Line :
City : FORT WORTH
State : TX
Zip : 76132-2921
Country : US
Telephone Number : 972-697-7338
Fax Number :
Provider Business Practice Location Address
First Line : 7535 OAKMONT BLVD STE 101
Second Line :
City : FORT WORTH
State : TX
Zip : 76132-4237
Country : US
Telephone Number : 800-972-0643
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2008
Last Update Date : 07/12/2022

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Directions to “ BRENDA BEALL LMSW, LCDC” Practice Location

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