Provider Demographics
NPI:1366326043
Name:DUNCAN, CHARLESETTA E (LPC-A)
Entity type:Individual
Prefix:
First Name:CHARLESETTA
Middle Name:E
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:LPC-A
Other - Prefix:
Other - First Name:CHARLESETTA
Other - Middle Name:E
Other - Last Name:BEASLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:305 HARRIS ST
Mailing Address - Street 2:
Mailing Address - City:SMITHVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78957-2203
Mailing Address - Country:US
Mailing Address - Phone:512-577-7327
Mailing Address - Fax:
Practice Address - Street 1:305 HARRIS ST
Practice Address - Street 2:
Practice Address - City:SMITHVILLE
Practice Address - State:TX
Practice Address - Zip Code:78957-2203
Practice Address - Country:US
Practice Address - Phone:512-577-7327
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-04
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX96240101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health