Provider Demographics
NPI:1508897885
Name:BOHART, PHILIP G (LPC)
Entity type:Individual
Prefix:
First Name:PHILIP
Middle Name:G
Last Name:BOHART
Suffix:
Gender:M
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:P.O. BOX 537
Mailing Address - Street 2:
Mailing Address - City:SULPHUR SPRINGS
Mailing Address - State:TX
Mailing Address - Zip Code:75483-0537
Mailing Address - Country:US
Mailing Address - Phone:214-361-2100
Mailing Address - Fax:214-361-2145
Practice Address - Street 1:8390 LBJ FRWY
Practice Address - Street 2:SUITE 1000
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-1288
Practice Address - Country:US
Practice Address - Phone:214-361-2100
Practice Address - Fax:214-361-2145
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2024-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15980101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional