Provider Demographics
NPI:1609901073
Name:JOSEPH WAIBEL, LPC
Entity type:Organization
Organization Name:JOSEPH WAIBEL, LPC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:HENRY
Authorized Official - Last Name:WAIBEL
Authorized Official - Suffix:V
Authorized Official - Credentials:LPC
Authorized Official - Phone:817-454-0011
Mailing Address - Street 1:405 AIRPORT FWY STE 6
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76021-5358
Mailing Address - Country:US
Mailing Address - Phone:817-454-0011
Mailing Address - Fax:817-282-3929
Practice Address - Street 1:405 AIRPORT FWY STE 6
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76021-5358
Practice Address - Country:US
Practice Address - Phone:817-454-0011
Practice Address - Fax:817-282-3929
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-23
Last Update Date:2016-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15568101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX6746LCOtherBLUE CROSS BLUE SHIELD
TX10011445OtherAMERIGROUP
TX156964201Medicaid
TX541041OtherVALUE OPTIONS
TX541041OtherVALUE OPTIONS