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NPI Code Detail

MEDICARE: FAVOUR BARTHOLOMEW

MEDICARE: FAVOUR BARTHOLOMEW
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 Counselor95193TX

General Provider Information

NPI Number : 1942143722
Entity Type Code : Individual
Provider Name (Legal Business Name) : FAVOUR BARTHOLOMEW
Provider Business Mailing Address
First Line : 5649 BOIS D'ARC ROAD
Second Line : #4106
City : MCKINNEY
State : TX
Zip : 75071
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1515 HERITAGE DR
Second Line :
City : MCKINNEY
State : TX
Zip : 75069-3256
Country : US
Telephone Number : 972-750-1910
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2026
Last Update Date : 05/22/2026

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Directions to “ FAVOUR BARTHOLOMEW ” Practice Location

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