Emmy Bean, LPC

Individual provider Active NPI Professional Counselor · Terrell, TX

NPI 1134536741 · NPPES record last updated Jul 15, 2014

Key facts

NPI
1134536741
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
69283 (TX)
Practice address
400 Airport Rd
Terrell, TX 75160-4302
Phone
(972) 524-4159
Fax
(972) 563-4433
NPI assigned
Jul 15, 2014
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
69283TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Aquila Recovery of Virginia LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 69283 TX Yes

Addresses

Primary practice location

400 Airport Rd
Terrell, TX 75160-4302

Mailing address

PO Box 747
Terrell, TX 75160-0014
Phone (972) 524-4159

Other providers in Terrell, TX

All providers in Terrell, TX · Professional Counselor in Texas

Sources for this page

Verify at the official NPI Registry.