MEDICARE: MR. DAVID LEE EUBANK LMFT, 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	87786	TX
2	101Y00000X	Counselor	203442	TX
3	106H00000X	Marriage & Family Therapist	203442	TX

General Provider Information

NPI Number	:	1508591355
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DAVID LEE EUBANK LMFT, LPC-ASSOCIATE

Provider Business Mailing Address
First Line	:	945 S MESA HILLS DR APT 2416
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79912-5194
Country	:	US
Telephone Number	:	915-922-9320
Fax Number	:

Provider Business Practice Location Address
First Line	:	16414 SAN PEDRO AVE STE 710
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78232-2247
Country	:	US
Telephone Number	:	210-455-0581
Fax Number	:

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

Provider Enumeration Date	:	07/17/2022
Last Update Date	:	01/19/2026

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Directions to “ MR. DAVID LEE EUBANK LMFT, LPC-ASSOCIATE” Practice Location

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