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NPI Code Detail

MEDICARE: NATASHA PERKINS

MEDICARE: NATASHA PERKINS
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1336784685
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATASHA PERKINS
Provider Business Mailing Address
First Line : 1111 W MOCKINGBIRD LN
Second Line :
City : DALLAS
State : TX
Zip : 75247-5028
Country : US
Telephone Number : 972-489-5552
Fax Number : 318-577-1559
Provider Business Practice Location Address
First Line : 1111 W MOCKINGBIRD LN
Second Line :
City : DALLAS
State : TX
Zip : 75247-5028
Country : US
Telephone Number : 972-489-5552
Fax Number : 318-577-1559
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/11/2019
Last Update Date : 11/11/2019

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