Provider Demographics
NPI:1982440657
Name:BERNSTEIN, WILLIAM H (LPC)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:H
Last Name:BERNSTEIN
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2242 PECAN GROVE CT
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75228-5387
Mailing Address - Country:US
Mailing Address - Phone:214-769-2822
Mailing Address - Fax:
Practice Address - Street 1:2242 PECAN GROVE CT
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75228-5387
Practice Address - Country:US
Practice Address - Phone:214-769-2822
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-02
Last Update Date:2024-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17097101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional