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Contact Information

MICHAEL C BEARDEN, LPC
1810 8TH AVE
SUITE A
FORT WORTH, TX76110-1352
 Phone: 817-897-7247
 Fax: 817-549-0293
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Marriage & Family Therapist

106H00000X
 

Pastoral

101YP1600X
Indicates primary specialty

NPI Profile & details for MICHAEL C BEARDEN · (Male)

NPI # 1437450780
Status Active
Credentials LPC (Licensed Professional Counselor)
Entity Individual
Enumeration date 11/03/2010
Last updated 10/25/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # 66256
  • TX Medicaid 2951303-01
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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