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NPI Code Detail

MEDICARE: REALISTIC EXPECTATIONS, PLLC

MEDICARE: REALISTIC EXPECTATIONS, PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker
2251S00000XCommunity/Behavioral Health Agency801696071TX

General Provider Information

NPI Number : 1164760518
Entity Type Code : Organization
Provider Name (Legal Business Name) : REALISTIC EXPECTATIONS, PLLC
Provider Business Mailing Address
First Line : 1771 INTERNATIONAL PKWY STE 107
Second Line :
City : RICHARDSON
State : TX
Zip : 75081-1865
Country : US
Telephone Number : 972-696-9359
Fax Number : 844-828-3612
Provider Business Practice Location Address
First Line : 1771 INTERNATIONAL PKWY STE 107
Second Line :
City : RICHARDSON
State : TX
Zip : 75081-1865
Country : US
Telephone Number : 972-696-9359
Fax Number : 844-828-3612
Authorized Official
Title or Position : CLINICAL DIRECTOR/OWNER
Name : ELIZABETH NEWSOM
Credential : LCSW-S
Telephone Number : 972-696-9359
Provider Enumeration Date : 01/19/2013
Last Update Date : 07/12/2024

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Directions to “REALISTIC EXPECTATIONS, PLLC ” Practice Location

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