Provider Demographics
NPI:1225871908
Name:BEGGS, JAMIE SMITH (LPC)
Entity type:Individual
Prefix:MS
First Name:JAMIE
Middle Name:SMITH
Last Name:BEGGS
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 1:110 ROLLING OAKS TRL
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76705-1266
Mailing Address - Country:US
Mailing Address - Phone:210-215-2519
Mailing Address - Fax:
Practice Address - Street 1:110 ROLLING OAKS TRL
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76705-1266
Practice Address - Country:US
Practice Address - Phone:210-215-2519
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-18
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX89249101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health