MEDICARE: ERICA ALLEN

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	102584	TX

General Provider Information

NPI Number	:	1043934839
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERICA ALLEN

Provider Business Mailing Address
First Line	:	2507 FOULES DR
Second Line	:
City	:	GLENN HEIGHTS
State	:	TX
Zip	:	75154-1437
Country	:	US
Telephone Number	:	469-402-4844
Fax Number	:

Provider Business Practice Location Address
First Line	:	539 W COMMERCE ST STE 2497
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75208-1953
Country	:	US
Telephone Number	:	469-402-4844
Fax Number	:

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

Provider Enumeration Date	:	09/27/2022
Last Update Date	:	06/03/2026

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Directions to “ ERICA ALLEN ” Practice Location

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