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NPI Code Detail

MEDICARE: THE CENTER FOR INTEGRATIVE COUNSELING AND PSYCHOLOGY

MEDICARE: THE CENTER FOR INTEGRATIVE COUNSELING AND PSYCHOLOGY
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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
100L36LOTHERTXBCBS
2248265OTHERTXMHN
3291678000OTHERTXMAGELLAN
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1720193899
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE CENTER FOR INTEGRATIVE COUNSELING AND PSYCHOLOGY
Provider Business Mailing Address
First Line : 4305 MACARTHUR AVE
Second Line :
City : DALLAS
State : TX
Zip : 75209-6511
Country : US
Telephone Number : 214-526-4525
Fax Number : 214-520-6468
Provider Business Practice Location Address
First Line : 4305 MACARTHUR AVE
Second Line :
City : DALLAS
State : TX
Zip : 75209-6511
Country : US
Telephone Number : 214-526-4525
Fax Number : 214-520-6468
Authorized Official
Title or Position : CEO
Name : BRAD SCHWALL
Credential :
Telephone Number : 214-526-4525
Provider Enumeration Date : 08/20/2006
Last Update Date : 11/18/2025

Similar Medicare Providers

1144104597 — KRISTEN DOSHIER LCSW
Practice Location Address:
4305 MACARTHUR AVE
DALLAS, TX
75209-6511
Practice Phone: 214-526-4525
Practice Fax: 214-520-6468
1427828805 — MELISSA SORELLE MS, LPC-A
Practice Location Address:
4305 MACARTHUR AVE
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75209-6511
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Practice Fax: 214-520-6468
1942084041 — AVERY WASSON LPC-A
Practice Location Address:
4305 MACARTHUR AVE
DALLAS, TX
75209-6511
Practice Phone: 214-526-4525
Practice Fax: 214-520-6468
1942316120 — SHANNON MICHELLE HAMRICK LCSW
Practice Location Address:
4305 MACARTHUR AVE
DALLAS, TX
75209-6511
Practice Phone: 214-526-4525
Practice Fax: 214-520-6468
1609986876 — MRS. BARBARA SIEMENS HORTON LCSW
Practice Location Address:
4305 MACARTHUR AVE
DALLAS, TX
75209-6511
Practice Phone: 214-526-4525
Practice Fax: 214-520-6468
1538294301 — MR. EVAN L BUJA M.A., LPC
Practice Location Address:
4305 MACARTHUR AVE
DALLAS, TX
75209-6511
Practice Phone: 214-526-4525
Practice Fax: 214-520-6468

Directions to “THE CENTER FOR INTEGRATIVE COUNSELING AND PSYCHOLOGY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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