Provider Demographics
NPI:1245737691
Name:BISHOP, JAMES (LPC)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:BISHOP
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7613 ROUNDTABLE DR
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-2176
Mailing Address - Country:US
Mailing Address - Phone:469-305-0605
Mailing Address - Fax:
Practice Address - Street 1:2770 MAIN ST STE 280
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75033-4523
Practice Address - Country:US
Practice Address - Phone:469-305-0605
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-11
Last Update Date:2018-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX73989101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional