Provider Demographics
NPI:1477170520
Name:BURNS, CALVIN MCCAIN (LPC)
Entity Type:Individual
Prefix:
First Name:CALVIN
Middle Name:MCCAIN
Last Name:BURNS
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 1:5120 LEGACY DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-3399
Mailing Address - Country:US
Mailing Address - Phone:214-868-4616
Mailing Address - Fax:
Practice Address - Street 1:12719 RIVINGTON DR APT 314
Practice Address - Street 2:
Practice Address - City:FARMERS BRANCH
Practice Address - State:TX
Practice Address - Zip Code:75234-1289
Practice Address - Country:US
Practice Address - Phone:214-868-4616
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-05
Last Update Date:2020-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX79214101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health