Bonnie Rose Bury-Blattman, LPC
Counselor, Professional in Lindale, TX. Individual provider (NPI-1).
NPI number1669937041
StatusActive
Last updated in NPPESApr 8, 2026
Details
- NPI
- 1669937041
- Entity type
- Individual (NPI-1)
- Name
- Bonnie Rose Bury-Blattman
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 9, 2019
- Certification date
- Apr 8, 2026
- Last updated
- Apr 8, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 80342 | TX | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 11745 | TX |
Practice location
2808 S Main St Ste ILindale, TX 75771-7854
Phone 903-565-9022 · Fax 214-224-0731
Mailing address
10116 Sparks DrTyler, TX 75704-3935
Phone 903-565-9022 · Fax 214-224-0731
Other practice locations
300 N High St
Henderson, TX 75652-5908
Henderson, TX 75652-5908
Phone 903-392-8203 · Fax 866-835-6516
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All 6 Professional Counselor providers in Lindale · All 294 providers in Lindale
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