Bearden, Michael Corey

Bearden, Michael Corey is an sole proprietor health care provider with primary practice located at 1810 8Th Ave Suite A, Fort Worth TX 76110-1352. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Bearden, Michael Corey can be contacted via phone (817) 897-7247.

Contact Information

Primary practice address
1810 8Th Ave Suite A Fort Worth TX 76110-1352
Phone: (817) 897-7247
Fax: (817) 549-0293
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 66256 Texas
Behavioral Health & Social Service Providers / Pastoral 101YP1600X 66256 Texas
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 66256 Texas

Profile Details

NPI number 1437450780
LBN Legal business name Bearden, Michael Corey
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 3rd, 2010
Last updated Oct 25th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437450780 NPPES
Texas MEDICAID 2951303-01

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