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NPI Code Detail

MEDICARE: EMILY ERIN OAKES LPC

MEDICARE:   EMILY ERIN OAKES  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
1101YP2500XProfessional Counselor79221TX

General Provider Information

NPI Number : 1992322499
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY ERIN OAKES LPC
Provider Business Mailing Address
First Line : 7700 CHARLENE DR
Second Line :
City : AZLE
State : TX
Zip : 76020-4399
Country : US
Telephone Number : 817-980-0956
Fax Number :
Provider Business Practice Location Address
First Line : 4500 MERCANTILE PLAZA DR STE 307
Second Line :
City : FORT WORTH
State : TX
Zip : 76137-4230
Country : US
Telephone Number : 817-232-9400
Fax Number : 817-232-9403
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2020
Last Update Date : 06/30/2020

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Directions to “ EMILY ERIN OAKES LPC” Practice Location

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