Provider Demographics
NPI:1932110889
Name:BURTON, DARLA JEAN (LPC)
Entity Type:Individual
Prefix:
First Name:DARLA
Middle Name:JEAN
Last Name:BURTON
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 1:1117 W BELDEN ST
Mailing Address - Street 2:
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75092-3519
Mailing Address - Country:US
Mailing Address - Phone:903-893-6010
Mailing Address - Fax:903-893-6004
Practice Address - Street 1:2009 W LAMBERTH RD
Practice Address - Street 2:
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75092-2318
Practice Address - Country:US
Practice Address - Phone:903-893-6010
Practice Address - Fax:903-893-6004
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-10
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17928101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX6106LCOtherBLUE CROSS BLUE SHIELD