MEDICARE: JANA KAY MCHAM LMFT

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	106H00000X	Marriage & Family Therapist	203662	TX

General Provider Information

NPI Number	:	1023772860
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANA KAY MCHAM LMFT

Provider Business Mailing Address
First Line	:	8205 CHOLLA BLVD
Second Line	:
City	:	LANTANA
State	:	TX
Zip	:	76226-7401
Country	:	US
Telephone Number	:	469-294-2484
Fax Number	:

Provider Business Practice Location Address
First Line	:	1121 DALLAS DR
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76205-5100
Country	:	US
Telephone Number	:	940-483-1789
Fax Number	:

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

Provider Enumeration Date	:	10/27/2021
Last Update Date	:	04/22/2024

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