MEDICARE: MARY ANN O'LOUGHLIN L.P.C., L.M.F.T.

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	09823	TX
2	106H00000X	Marriage & Family Therapist	3922	TX

General Provider Information

NPI Number	:	1528112216
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY ANN O'LOUGHLIN L.P.C., L.M.F.T.

Provider Business Mailing Address
First Line	:	3062 MERRELL RD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75229-4972
Country	:	US
Telephone Number	:	214-351-3829
Fax Number	:	214-902-9130

Provider Business Practice Location Address
First Line	:	3613 CEDAR SPRINGS RD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75219-4905
Country	:	US
Telephone Number	:	214-443-9049
Fax Number	:	214-902-9130

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

Provider Enumeration Date	:	01/22/2007
Last Update Date	:	09/11/2025

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