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NPI Code Detail

MEDICARE: MR. TIMOTHY DAVID SPELLINGS LMFT-ASSOCIATE

MEDICARE:  MR. TIMOTHY DAVID SPELLINGS  LMFT-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
1101YA0400XAddiction (Substance Use Disorder) Counselor15904TX
2106H00000XMarriage & Family Therapist203904TX

General Provider Information

NPI Number : 1730763897
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. TIMOTHY DAVID SPELLINGS LMFT-ASSOCIATE
Provider Business Mailing Address
First Line : 721 EASTRIDGE DR APT 1027
Second Line :
City : MIDLOTHIAN
State : TX
Zip : 76065-3392
Country : US
Telephone Number : 936-404-9113
Fax Number :
Provider Business Practice Location Address
First Line : 717 W MAIN ST STE 8
Second Line :
City : MIDLOTHIAN
State : TX
Zip : 76065-2939
Country : US
Telephone Number : 214-235-9087
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2021
Last Update Date : 11/15/2021

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Directions to “ MR. TIMOTHY DAVID SPELLINGS LMFT-ASSOCIATE” Practice Location

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