Provider Demographics
NPI:1568890333
Name:CLINARD, BENJAMIN LUKE (LPC, LMFT ASSOCIATE)
Entity Type:Individual
Prefix:MR
First Name:BENJAMIN
Middle Name:LUKE
Last Name:CLINARD
Suffix:
Gender:M
Credentials:LPC, LMFT ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5620 S COLONY BLVD
Mailing Address - Street 2:APT 413
Mailing Address - City:THE COLONY
Mailing Address - State:TX
Mailing Address - Zip Code:75056-7333
Mailing Address - Country:US
Mailing Address - Phone:972-861-0829
Mailing Address - Fax:
Practice Address - Street 1:6849 ELM ST
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-4228
Practice Address - Country:US
Practice Address - Phone:469-287-5502
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-14
Last Update Date:2013-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX66120101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health