MEDICARE: MARION APPIAH STEVENSON M.ED., LPC

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	101YM0800X	Mental Health Counselor	73055	TX

General Provider Information

NPI Number	:	1285150763
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARION APPIAH STEVENSON M.ED., LPC

Provider Business Mailing Address
First Line	:	2915 TOURAINE DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75211-1647
Country	:	US
Telephone Number	:	214-534-7930
Fax Number	:

Provider Business Practice Location Address
First Line	:	2915 TOURAINE DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75211-1647
Country	:	US
Telephone Number	:	214-534-7930
Fax Number	:	214-941-2364

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2017
Last Update Date	:	07/03/2024

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