Provider Demographics
NPI:1982040465
Name:FISCHER-OSBORNE, LIBBY (LPC)
Entity Type:Individual
Prefix:
First Name:LIBBY
Middle Name:
Last Name:FISCHER-OSBORNE
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 1:8711 THUNDERBIRD LN
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75238-4144
Mailing Address - Country:US
Mailing Address - Phone:214-288-9241
Mailing Address - Fax:214-368-3603
Practice Address - Street 1:8215 WESTCHESTER DR
Practice Address - Street 2:SUITE 307
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75225-6103
Practice Address - Country:US
Practice Address - Phone:214-288-9241
Practice Address - Fax:214-368-3603
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-10
Last Update Date:2013-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10834101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional