Provider Demographics
NPI:1902600042
Name:PRICE, BEVERLY FAITH (LMSW)
Entity type:Individual
Prefix:
First Name:BEVERLY
Middle Name:FAITH
Last Name:PRICE
Suffix:
Gender:
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:255 WILLIAMSBURG PKWY APT A314
Mailing Address - Street 2:
Mailing Address - City:FATE
Mailing Address - State:TX
Mailing Address - Zip Code:75189-5654
Mailing Address - Country:US
Mailing Address - Phone:682-225-0939
Mailing Address - Fax:
Practice Address - Street 1:303 S HIGHWAY 78 STE 100-103
Practice Address - Street 2:
Practice Address - City:WYLIE
Practice Address - State:TX
Practice Address - Zip Code:75098-3944
Practice Address - Country:US
Practice Address - Phone:469-342-3468
Practice Address - Fax:469-342-3466
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-01
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical