| Doctor Name: | MRS. BEVERLY A HIME |
| NPI Number: | 1841281656 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A., LPC |
| License Number: | 11851 |
| Business Practice Address: | 1001 Pat Booker Rd Suite 208 Universal City, TX - 781484154 |
| Business Phone Number: | 2107238309 |
| Business Fax Number: | 8309804463 |
| Mailing Address: | 1001 Pat Booker Rd, Suite 208 UNIVERSAL CITY |
| State: | TX |
| Postal Code: | 781484154 |
| Phone Number: | 2107238309 |
| Fax Number: | 8309804463 |
| NPI Enumeration Date: | 11/01/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 11851 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |