Provider Demographics
NPI:1245456078
Name:WINEGEART, GEORGE EDWARD (MA, LMFT)
Entity type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:EDWARD
Last Name:WINEGEART
Suffix:
Gender:M
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2020 E HEBRON PKWY
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75007-1618
Mailing Address - Country:US
Mailing Address - Phone:972-394-2020
Mailing Address - Fax:972-394-7916
Practice Address - Street 1:2020 E HEBRON PKWY
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75007-1618
Practice Address - Country:US
Practice Address - Phone:972-394-2020
Practice Address - Fax:972-394-7916
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2009-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4842106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist