Mary Heryford, LPC

Individual provider Active NPI Mental Health Counselor · Goliad, TX

NPI 1356211569 · NPPES record last updated Nov 11, 2025

Key facts

NPI
1356211569
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
94333 (TX)
Practice address
816 N Church St
Goliad, TX 77963-4514
Phone
(325) 812-2361
NPI assigned
Nov 11, 2025
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
94333TXMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 94333 TX Yes

Addresses

Primary practice location

816 N Church St
Goliad, TX 77963-4514

Mailing address

816 N Church St
Goliad, TX 77963-4514
Phone (325) 812-2361

Other providers in Goliad, TX

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

Sources for this page

Verify at the official NPI Registry.