Provider Demographics
NPI:1124733126
Name:BESETT, CHRISTY ANN (LPC-ASSOCIATE)
Entity type:Individual
Prefix:
First Name:CHRISTY
Middle Name:ANN
Last Name:BESETT
Suffix:
Gender:F
Credentials:LPC-ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14319 JOHN DAY RD
Mailing Address - Street 2:
Mailing Address - City:HASLET
Mailing Address - State:TX
Mailing Address - Zip Code:76052-2505
Mailing Address - Country:US
Mailing Address - Phone:817-832-2850
Mailing Address - Fax:
Practice Address - Street 1:2451 STONE MYERS PKWY
Practice Address - Street 2:
Practice Address - City:GRAPEVINE
Practice Address - State:TX
Practice Address - Zip Code:76051-4782
Practice Address - Country:US
Practice Address - Phone:817-906-1111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-16
Last Update Date:2023-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX89796101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor