MEDICARE: TAYLOR HENDRIX M. ED, 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
1	101YM0800X	Mental Health Counselor	82444	TX
2	101YP2500X	Professional Counselor	82444	TX

General Provider Information

NPI Number	:	1013655471
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAYLOR HENDRIX M. ED, LPC

Provider Business Mailing Address
First Line	:	1410 ROBINSON RD STE 400
Second Line	:
City	:	CORINTH
State	:	TX
Zip	:	76210-2848
Country	:	US
Telephone Number	:	972-523-0000
Fax Number	:

Provider Business Practice Location Address
First Line	:	1030 DALLAS DR APT 1625
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76205-5210
Country	:	US
Telephone Number	:	806-786-2636
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/25/2022
Last Update Date	:	05/29/2026

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