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NPI Code Detail

MEDICARE: MS. MICHELLE VEGA APPLE LCSW

MEDICARE: MS. MICHELLE VEGA APPLE LCSW
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
1101YM0800XMental Health Counselor
2101YM0800XMental Health Counselor19034TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
100S49VOTHERTXBLUE CROSS BLUE SHEILD
2225427367OTHERTXUNITED BEHAVIORAL HEALTH
393-4674657OTHERSTATE

General Provider Information

NPI Number : 1699829739
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MICHELLE VEGA APPLE LCSW
Provider Business Mailing Address
First Line : 16980 DALLAS PKWY STE 204
Second Line :
City : DALLAS
State : TX
Zip : 75248-1910
Country : US
Telephone Number : 972-767-9194
Fax Number :
Provider Business Practice Location Address
First Line : 16980 DALLAS PKWY STE 204
Second Line :
City : DALLAS
State : TX
Zip : 75248-1910
Country : US
Telephone Number : 972-767-9194
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2007
Last Update Date : 02/07/2024

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