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NPI Code Detail

MEDICARE: MR. THOMAS ALLEN MED, LPC

MEDICARE: MR. THOMAS ALLEN MED, 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
1101Y00000XCounselor15607TX
2101YM0800XMental Health Counselor15067TX
3101YP2500XProfessional Counselor15607TX

General Provider Information

NPI Number : 1356350813
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. THOMAS ALLEN MED, LPC
Provider Business Mailing Address
First Line : 1900 PRESTON RD STE 267
Second Line :
City : PLANO
State : TX
Zip : 75093-3604
Country : US
Telephone Number : 972-731-2656
Fax Number :
Provider Business Practice Location Address
First Line : 5465 LEGACY DR STE 650
Second Line :
City : PLANO
State : TX
Zip : 75024-4171
Country : US
Telephone Number : 972-731-2656
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2006
Last Update Date : 01/03/2024

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