Provider Demographics
NPI:1992413173
Name:BUSBY, BETTY JO (LPC)
Entity type:Individual
Prefix:
First Name:BETTY
Middle Name:JO
Last Name:BUSBY
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 1:2456 COUNTRY CLUB DR
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77581-5002
Mailing Address - Country:US
Mailing Address - Phone:713-569-7374
Mailing Address - Fax:
Practice Address - Street 1:2456 COUNTRY CLUB DR
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77581-5002
Practice Address - Country:US
Practice Address - Phone:713-569-7374
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-07
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18669101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional