Individual provider · Type 1 NPI

Michaelan Beaver, LPC-S

Mental Health Counselor · Fort Worth, TX

NPI number 1649694597 Active

Practice location

3001 S Riverside Dr
Fort Worth, TX 76119-2621

Call (254) 600-9133 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X76112 (TX)

Mental Health Counselor: Definition to come...

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About NPI 1649694597

Michaelan Beaver, LPC-S's National Provider Identifier is 1649694597, issued on Feb 12, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Worth, TX. The record was last updated on Oct 16, 2026.