| Beth Boatman, Lpc-s | |
|
211 E Southlake Blvd Ste 115 Southlake TX 76092-6274 | |
| (770) 265-1007 | |
| (706) 413-1377 |
| Full Name | Beth Boatman, Lpc-s |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 211 E Southlake Blvd Ste 115, Southlake, Texas |
| Authorized Official Name and Position | Beth Boatman (OWNER) |
| Authorized Official Contact | 7702651007 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beth Boatman, Lpc-s 5805 Bryton Ct Colleyville TX 76034-1209 Ph: (770) 265-1007 | Beth Boatman, Lpc-s 211 E Southlake Blvd Ste 115 Southlake TX 76092-6274 Ph: (770) 265-1007 |
| NPI Number | 1487299103 |
|---|---|
| Provider Enumeration Date | 11/18/2019 |
| Last Update Date | 11/18/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487299103 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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