Provider Demographics
NPI:1518206556
Name:ALAGOOD, BONNIE DIANNA (LPC-S 1871)
Entity type:Individual
Prefix:MRS
First Name:BONNIE
Middle Name:DIANNA
Last Name:ALAGOOD
Suffix:
Gender:F
Credentials:LPC-S 1871
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1710 WESTMINISTER ST.
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76205
Mailing Address - Country:US
Mailing Address - Phone:940-566-6448
Mailing Address - Fax:940-891-0004
Practice Address - Street 1:1710 WESTMINISTER ST.
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76205
Practice Address - Country:US
Practice Address - Phone:940-566-6448
Practice Address - Fax:940-891-0004
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-12
Last Update Date:2013-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXLPC-S #1871101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional