MEDICARE: MRS. DARRIEN GENE HELD LPC-ASSOCIATE

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	101YP2500X	Professional Counselor	85094	TX

General Provider Information

NPI Number	:	1497329361
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DARRIEN GENE HELD LPC-ASSOCIATE

Provider Business Mailing Address
First Line	:	917 MAIN STREET STATION PKWY APT 50002
Second Line	:
City	:	LEWISVILLE
State	:	TX
Zip	:	75057-5351
Country	:	US
Telephone Number	:	308-325-9115
Fax Number	:

Provider Business Practice Location Address
First Line	:	717 W MAIN ST STE 8
Second Line	:
City	:	MIDLOTHIAN
State	:	TX
Zip	:	76065-2939
Country	:	US
Telephone Number	:	214-235-9087
Fax Number	:

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

Provider Enumeration Date	:	05/16/2021
Last Update Date	:	05/16/2021

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