Organization · Type 2 NPI

Beth Boatman, Lpc-S

Mental Health Counselor · Southlake, TX

NPI number 1487299103 Active

Practice location

211 E Southlake Blvd Ste 115
Southlake, TX 76092-6274

Call (770) 265-1007 Map

Fax (706) 413-1377

Mailing address

5805 Bryton Ct
Colleyville, TX 76034-1209

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1487299103

Beth Boatman, Lpc-S's National Provider Identifier is 1487299103, issued on Nov 18, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Southlake, TX. The record was last updated on Nov 18, 2019.