Provider Demographics
NPI:1982974713
Name:THATCHER, EMMIE DENISE (PHD, LPC-S)
Entity Type:Individual
Prefix:DR
First Name:EMMIE
Middle Name:DENISE
Last Name:THATCHER
Suffix:
Gender:F
Credentials:PHD, LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:412 BONITA DR
Mailing Address - Street 2:
Mailing Address - City:GRANBURY
Mailing Address - State:TX
Mailing Address - Zip Code:76049-1615
Mailing Address - Country:US
Mailing Address - Phone:817-573-8430
Mailing Address - Fax:
Practice Address - Street 1:1950 ACTON HWY
Practice Address - Street 2:
Practice Address - City:GRANBURY
Practice Address - State:TX
Practice Address - Zip Code:76049-5988
Practice Address - Country:US
Practice Address - Phone:817-579-0968
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-10
Last Update Date:2012-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17459101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional