MEDICARE: PAASI FAMILY THERAPY PLLC

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	101YM0800X	Mental Health Counselor
2	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1952119521
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PAASI FAMILY THERAPY PLLC

Provider Business Mailing Address
First Line	:	1721 W PLANO PKWY STE 200
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75075-8600
Country	:	US
Telephone Number	:	469-609-7506
Fax Number	:	972-521-7793

Provider Business Practice Location Address
First Line	:	1721 W PLANO PKWY STE 200
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75075-8600
Country	:	US
Telephone Number	:	469-609-7506
Fax Number	:	972-521-7793

Authorized Official
Title or Position	:	OWNER/THERAPIST
Name	:	BREIANE CAGE
Credential	:	LMFT
Telephone Number	:	469-609-7506

Provider Enumeration Date	:	12/27/2024
Last Update Date	:	12/27/2024

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