Provider Demographics
NPI:1972674208
Name:MCGAUGHEY, BETH (MS, LPC)
Entity Type:Individual
Prefix:MRS
First Name:BETH
Middle Name:
Last Name:MCGAUGHEY
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2401 JUDSON RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:LONGVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75605-4650
Mailing Address - Country:US
Mailing Address - Phone:903-753-0305
Mailing Address - Fax:
Practice Address - Street 1:2401 JUDSON RD
Practice Address - Street 2:SUITE 202
Practice Address - City:LONGVIEW
Practice Address - State:TX
Practice Address - Zip Code:75605-4650
Practice Address - Country:US
Practice Address - Phone:903-753-0305
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18258101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional