Provider Demographics
NPI:1376888693
Name:GILMER, BETH BROWN (LPC)
Entity Type:Individual
Prefix:MS
First Name:BETH
Middle Name:BROWN
Last Name:GILMER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3605 NE LOOP 286 STE 300
Mailing Address - Street 2:
Mailing Address - City:PARIS
Mailing Address - State:TX
Mailing Address - Zip Code:75460-5041
Mailing Address - Country:US
Mailing Address - Phone:903-785-7410
Mailing Address - Fax:
Practice Address - Street 1:3605 NE LOOP 286 STE 300
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:TX
Practice Address - Zip Code:75460-5041
Practice Address - Country:US
Practice Address - Phone:903-785-7410
Practice Address - Fax:903-785-7758
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-28
Last Update Date:2023-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX67646101YP2500X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional