Bedrock Counseling, PLLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

BEDROCK COUNSELING, PLLC

Practice address

575 N Valley Pkwy
230
Lewisville, TX 75067-3667

Phone

(972) 906-9112

Fax

(972) 906-9125

NPI assigned

Jan 3, 2012

Last updated

Jan 3, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lilliam Polo, LCDCI

Title

Executive Director

Phone

(214) 680-5074

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1325548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325548800000",
    "number": "1528338928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 N VALLEY PKWY",
            "address_2": "230",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750673667",
            "telephone_number": "972-906-9112",
            "fax_number": "972-906-9125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 N VALLEY PKWY",
            "address_2": "230",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750673667",
            "telephone_number": "972-906-9112",
            "fax_number": "972-906-9125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEDROCK COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-03",
        "last_updated": "2012-01-03",
        "status": "A",
        "authorized_official_last_name": "POLO",
        "authorized_official_first_name": "LILLIAM",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "214-680-5074",
        "authorized_official_credential": "LCDCI"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Be Forward LLC
• Marissa Bean
• Candis Lesley Beard, MD
• Arwen Beckinger, OTR
• Bedrock Counseling, PLLC
• Behavioral Health Medical Group, PA
• Behavioral Health Specialists (de), P.a.
• Kendra Ugo Behram, DDS
• Bell Counseling,Services, PLLC
• Krystal Bell, D.O.

• Rehabilitation Clinic/Center in Lewisville, TX
• Providers in Lewisville, TX by specialty
• Rehabilitation Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.