Provider Demographics
NPI:1821982687
Name:EAST, MARY K (LPC)
Entity type:Individual
Prefix:MRS
First Name:MARY
Middle Name:K
Last Name:EAST
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 1:3195 DOWLEN RD STE 101
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77706-7272
Mailing Address - Country:US
Mailing Address - Phone:409-656-0248
Mailing Address - Fax:
Practice Address - Street 1:16487 WESTBURY RD
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77713-2024
Practice Address - Country:US
Practice Address - Phone:409-656-0248
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-05
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX71902101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional