Provider Demographics
NPI:1649726050
Name:ARNETT, JUSTINA (LPC)
Entity type:Individual
Prefix:
First Name:JUSTINA
Middle Name:
Last Name:ARNETT
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:PO BOX 976
Mailing Address - Street 2:
Mailing Address - City:STEPHENVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76401-0009
Mailing Address - Country:US
Mailing Address - Phone:254-965-5515
Mailing Address - Fax:254-965-7416
Practice Address - Street 1:239 S VIRGINIA ST
Practice Address - Street 2:
Practice Address - City:STEPHENVILLE
Practice Address - State:TX
Practice Address - Zip Code:76401-4344
Practice Address - Country:US
Practice Address - Phone:254-965-5515
Practice Address - Fax:254-965-7416
Is Sole Proprietor?:No
Enumeration Date:2016-08-27
Last Update Date:2016-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX70005101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX148686201Medicaid