Provider Demographics
NPI:1881850204
Name:PERKINS, BETTYE JANE (MS, LPC - I)
Entity Type:Individual
Prefix:MS
First Name:BETTYE
Middle Name:JANE
Last Name:PERKINS
Suffix:
Gender:F
Credentials:MS, LPC - I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3960 BROADWAY BLVD
Mailing Address - Street 2:SUITE 220-C
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75043-2593
Mailing Address - Country:US
Mailing Address - Phone:972-271-2989
Mailing Address - Fax:972-271-9489
Practice Address - Street 1:3960 BROADWAY BLVD
Practice Address - Street 2:SUITE 220-C
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75043-2593
Practice Address - Country:US
Practice Address - Phone:972-271-2989
Practice Address - Fax:972-271-9489
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-05
Last Update Date:2008-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX64273101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor