MEDICARE: YING ZHAO LPC, LCDC

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	101YP2500X	Professional Counselor	E.2505700	OH
2	101YP2500X	Professional Counselor	9671246	ID
3	101YP2500X	Professional Counselor	90701	TX
4	101YP2500X	Professional Counselor	241965	AK
5	101YP2500X	Professional Counselor	6401225320	MI
6	101YP2500X	Professional Counselor	11859-125	WI
7	101YP2500X	Professional Counselor	LPC-24183	AZ
8	101YA0400X	Addiction (Substance Use Disorder) Counselor	16530	TX
9	101YP2500X	Professional Counselor	LPC.0022514	CO

General Provider Information

NPI Number	:	1053968404
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YING ZHAO LPC, LCDC

Provider Business Mailing Address
First Line	:	6125 LUTHER LN STE 566
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75225-6202
Country	:	US
Telephone Number	:	682-717-6463
Fax Number	:

Provider Business Practice Location Address
First Line	:	6125 LUTHER LN STE 566
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75225-6202
Country	:	US
Telephone Number	:	682-717-6463
Fax Number	:

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

Provider Enumeration Date	:	08/21/2019
Last Update Date	:	04/10/2026

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