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NPI Code Detail

MEDICARE: J'BRIEL ELIZABETH PORTER LPC

MEDICARE: J'BRIEL ELIZABETH PORTER LPC
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 Counselor88262TX
2101YM0800XMental Health CounselorMC61493093WA
3101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1831615137
Entity Type Code : Individual
Provider Name (Legal Business Name) : J'BRIEL ELIZABETH PORTER LPC
Provider Business Mailing Address
First Line : 2510 HOLLY BROOK LN APT 1021
Second Line :
City : ARLINGTON
State : TX
Zip : 76006-5184
Country : US
Telephone Number : 918-239-2527
Fax Number :
Provider Business Practice Location Address
First Line : 4701 SAMUELL BLVD
Second Line :
City : DALLAS
State : TX
Zip : 75228-6828
Country : US
Telephone Number : 972-861-5611
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2017
Last Update Date : 12/10/2025

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