MEDICARE: TEXAS PSYCHOTHERAPY CENTER, 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
1	103TC1900X	Counseling Psychologist
2	261QM0850X	Adult Mental Health Clinic/Center

General Provider Information

NPI Number	:	1255915393
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TEXAS PSYCHOTHERAPY CENTER, PLLC

Provider Business Mailing Address
First Line	:	1017 QUEENS LAKE TRL
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75071-1756
Country	:	US
Telephone Number	:	940-703-5184
Fax Number	:

Provider Business Practice Location Address
First Line	:	1833B W HUNT ST
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75069-3367
Country	:	US
Telephone Number	:	940-703-5184
Fax Number	:	469-519-5340

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. NADIA T HASAN
Credential	:	PHD
Telephone Number	:	940-703-5184

Provider Enumeration Date	:	05/05/2021
Last Update Date	:	03/25/2025

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