Provider Demographics
NPI:1598499592
Name:GARNER, BEATRECE (LPC-ASSOCIATE)
Entity Type:Individual
Prefix:MISS
First Name:BEATRECE
Middle Name:
Last Name:GARNER
Suffix:
Gender:F
Credentials:LPC-ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 WEST PLANO PARKWAY
Mailing Address - Street 2:SUITE 1400
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75075
Mailing Address - Country:US
Mailing Address - Phone:972-212-9175
Mailing Address - Fax:972-423-6270
Practice Address - Street 1:2001 W PLANO PKWY
Practice Address - Street 2:SUITE 1400
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-8607
Practice Address - Country:US
Practice Address - Phone:972-212-9175
Practice Address - Fax:972-423-6270
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-14
Last Update Date:2022-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX79697101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty