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NPI Code Detail

MEDICARE: MITCHELL TAYLOR LPC-A

MEDICARE: MITCHELL TAYLOR LPC-A
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
1101Y00000XCounselor86759TX

General Provider Information

NPI Number : 1003582115
Entity Type Code : Individual
Provider Name (Legal Business Name) : MITCHELL TAYLOR LPC-A
Provider Business Mailing Address
First Line : 3740 N JOSEY LN STE 145
Second Line :
City : CARROLLTON
State : TX
Zip : 75007-2471
Country : US
Telephone Number : 469-701-2333
Fax Number :
Provider Business Practice Location Address
First Line : 3740 N JOSEY LN STE 145
Second Line :
City : CARROLLTON
State : TX
Zip : 75007-2471
Country : US
Telephone Number : 469-701-2333
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2021
Last Update Date : 08/18/2021

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Directions to “ MITCHELL TAYLOR LPC-A” Practice Location

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