Provider Demographics
NPI:1023741485
Name:BEAMAN, WILLIAM (LPC)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:
Last Name:BEAMAN
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:BILL
Other - Middle Name:
Other - Last Name:BEAMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:2617 LINKS DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-6333
Mailing Address - Country:US
Mailing Address - Phone:469-369-9906
Mailing Address - Fax:
Practice Address - Street 1:5750 GENESIS CT STE 135
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-4229
Practice Address - Country:US
Practice Address - Phone:469-369-9906
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-05
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX88735101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX88735OtherTEXAS BEHAVIORAL HEALTH EXECUTIVE COUNCIL