Provider Demographics
NPI:1063006161
Name:DRINKWATER, CAROLINE HEARD (LPC-A)
Entity Type:Individual
Prefix:
First Name:CAROLINE
Middle Name:HEARD
Last Name:DRINKWATER
Suffix:
Gender:F
Credentials:LPC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5847 E UNIVERSITY BLVD APT C
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75206-4622
Mailing Address - Country:US
Mailing Address - Phone:214-315-4846
Mailing Address - Fax:
Practice Address - Street 1:718 W ARAPAHO RD STE 100
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-4160
Practice Address - Country:US
Practice Address - Phone:214-530-2324
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-01
Last Update Date:2021-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX83115101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health