Provider Demographics
NPI:1053461962
Name:DEARING, BEVERLY GAIL (MS, LPC)
Entity Type:Individual
Prefix:MRS
First Name:BEVERLY
Middle Name:GAIL
Last Name:DEARING
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2132 LANSDOWN DR
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75010-4142
Mailing Address - Country:US
Mailing Address - Phone:817-929-2849
Mailing Address - Fax:
Practice Address - Street 1:2132 LANSDOWN DR
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75010-4142
Practice Address - Country:US
Practice Address - Phone:817-929-2849
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-11
Last Update Date:2013-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16933101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200077440AMedicaid
TXXXXMedicaid