Provider Demographics
NPI:1124728167
Name:BEARD, BILLIE (LPC)
Entity type:Individual
Prefix:MS
First Name:BILLIE
Middle Name:
Last Name:BEARD
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 1:1375 HIGHWAY 71 W UNIT 9
Mailing Address - Street 2:
Mailing Address - City:BASTROP
Mailing Address - State:TX
Mailing Address - Zip Code:78602-3387
Mailing Address - Country:US
Mailing Address - Phone:979-255-2919
Mailing Address - Fax:
Practice Address - Street 1:805 W 10TH ST STE 302
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78701-2038
Practice Address - Country:US
Practice Address - Phone:979-255-2919
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-08
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX83172101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health