Kathryn Baugh

Individual provider Active NPI Mental Health Counselor · Prosper, TX

NPI 1063186153 · NPPES record last updated Aug 3, 2021

Key facts

NPI
1063186153
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
72997 (TX)
Practice address
511 E Broadway St
Prosper, TX 75078-2942
Phone
(469) 471-1401
NPI assigned
Aug 3, 2021
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
72997TXMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 72997 TX Yes

Addresses

Primary practice location

511 E Broadway St
Prosper, TX 75078-2942

Mailing address

3721 Quail Hollow St
Celina, TX 75009-4507
Phone (469) 471-1401

Other providers in Prosper, TX

All providers in Prosper, TX · Mental Health Counselor in Texas

Sources for this page

Verify at the official NPI Registry.