Bock, Berlyn Miller

Bock, Berlyn Miller is an sole proprietor health care provider with primary practice located at 4101 Bellaire Dr S , Fort Worth TX 76109-2025. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Bock, Berlyn Miller can be contacted via phone (817) 924-4270.

Contact Information

Primary practice address
4101 Bellaire Dr S Fort Worth TX 76109-2025
Phone: (817) 924-4270
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1635 Texas
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X Texas

Profile Details

NPI number 1215215090
LBN Legal business name Bock, Berlyn Miller
Credentials LCSW,ACP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2011
Last updated Aug 17th, 2011 - about 15 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.

Request for update

Popular Providers