| Becky Bergthold, Llc | |
|
1702 N Collins Blvd Suite 190 Richardson TX 75080-3566 | |
| (214) 693-7646 | |
| Not Available |
| Full Name | Becky Bergthold, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1702 N Collins Blvd, Richardson, Texas |
| Authorized Official Name and Position | Rebecca L Bergthold (CHILD AND ADOLESCENT THERAPIST) |
| Authorized Official Contact | 2146937646 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Becky Bergthold, Llc 1702 N Collins Blvd Suite 190 Richardson TX 75080-3566 Ph: (214) 693-7646 | Becky Bergthold, Llc 1702 N Collins Blvd Suite 190 Richardson TX 75080-3566 Ph: (214) 693-7646 |
| NPI Number | 1184043168 |
|---|---|
| Provider Enumeration Date | 04/07/2014 |
| Last Update Date | 04/07/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184043168 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 17987 (Texas) | Primary |
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