Beavers, Vickie Annette

Beavers, Vickie Annette is an sole proprietor health care provider with primary practice located at 200 N Rufe Snow Dr Suite 102, Keller TX 76248-4226. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Beavers, Vickie Annette can be contacted via phone (817) 485-8321.

Contact Information

Primary practice address
200 N Rufe Snow Dr Suite 102 Keller TX 76248-4226
Phone: (817) 485-8321
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 18117 Texas
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 005077-005716 Texas

Profile Details

NPI number 1548277213
LBN Legal business name Beavers, Vickie Annette
Credentials LPC, LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 2nd, 2006
Last updated Jul 9th, 2007 - about 17 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 1548277213 NPPES
Tennessee MEDICAID 10011613
Tennessee Other 6518LC

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