Beau D Davis, MMFT LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

201168 Issued in TX

Practice address

723 S I-35 E
Denton, TX 76205-4101

Phone

(940) 483-1789

NPI assigned

Jun 3, 2009

Last updated

Oct 3, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Olive Branch Family Therapy Inc.

  • Marriage & Family Therapist
  • Denton, TX
  • NPI 1669755443

  Pastoral

  NPD Authorized official

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

{
    "created_epoch": "1243987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317600000000",
    "number": "1922234061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 S I-35 E",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762054101",
            "telephone_number": "940-483-1789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 S I-35 E",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762054101",
            "telephone_number": "940-483-1789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "BEAU",
        "middle_name": "D",
        "credential": "MMFT  LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-03",
        "last_updated": "2011-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "201168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David V. Baugher DC PLLC (The Spinal Decompression Center)
• David William Price, M.D. PA
• Bryan Mathew David, M.D.
• Tavaras Davidson, MA, ATC, LAT
• Ashley Marie Davis, LPC
• Conner Davis, DPT
• Jennifer Davis, LPC
• Jennifer Dawn Davis, D. C.
• Jill Danae Davis, M.MFT, LMFT
• Kathleen Elizabeth Davis, MS/RD/LD

• Marriage & Family Therapist in Denton, TX
• Providers in Denton, TX by specialty
• Marriage & Family Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2011; 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.