MEDICARE: TRISHA LEIGH MCADA LMFT

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	101YM0800X	Mental Health Counselor	204438	TX

General Provider Information

NPI Number	:	1679227094
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRISHA LEIGH MCADA LMFT

Provider Business Mailing Address
First Line	:	PO BOX 2076
Second Line	:
City	:	WEATHERFORD
State	:	TX
Zip	:	76086-7076
Country	:	US
Telephone Number	:	817-975-5080
Fax Number	:

Provider Business Practice Location Address
First Line	:	106 AUSTIN AVE STE 105
Second Line	:
City	:	WEATHERFORD
State	:	TX
Zip	:	76086-3381
Country	:	US
Telephone Number	:	940-784-3517
Fax Number	:

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

Provider Enumeration Date	:	02/04/2022
Last Update Date	:	03/04/2026

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