MEDICARE: MS. JULIANNE PYLE LPC - S

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	64528	TX
2	101YM0800X	Mental Health Counselor	64528	TX

General Provider Information

NPI Number	:	1770943722
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JULIANNE PYLE LPC - S

Provider Business Mailing Address
First Line	:	751 HIGHWAY 287 N
Second Line	:	#103
City	:	MANSFIELD
State	:	TX
Zip	:	76063-6617
Country	:	US
Telephone Number	:	214-952-2324
Fax Number	:	214-572-2986

Provider Business Practice Location Address
First Line	:	1020 S CARRIER PKWY
Second Line	:
City	:	GRAND PRAIRIE
State	:	TX
Zip	:	75051-1527
Country	:	US
Telephone Number	:	214-743-1200
Fax Number	:

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

Provider Enumeration Date	:	03/03/2016
Last Update Date	:	12/08/2025

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