MEDICARE: DEBRA MOORE BUSHONG 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	101YP2500X	Professional Counselor	59919	TX

General Provider Information

NPI Number	:	1063624690
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBRA MOORE BUSHONG LPC

Provider Business Mailing Address
First Line	:	PO BOX 845347
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75284-5347
Country	:	US
Telephone Number	:	214-645-0624
Fax Number	:	214-645-0078

Provider Business Practice Location Address
First Line	:	6363 FOREST PARK RD.
Second Line	:	7TH FLOOR, SUITE 749
City	:	DALLAS
State	:	TX
Zip	:	75390
Country	:	US
Telephone Number	:	214-645-8500
Fax Number	:	214-645-3775

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

Provider Enumeration Date	:	05/04/2007
Last Update Date	:	06/05/2019

Similar Medicare Providers

1194141861 — MRS. WISH MEMA ACNP-BC
Practice Location Address:

5323 HARRY HINES BLVD
DALLAS, TX
75390-7208

Practice Phone: 214-645-0624
Practice Fax: 214-645-0078

1265965230 — MR. SETH QUINN
Practice Location Address:

5323 HARRY HINES BLVD
DALLAS, TX
75390-7201

Practice Phone: 214-648-3111
Practice Fax:

1891343869 — SANDRA SHARON JOSHUA
Practice Location Address:

UT SOUTHWESTERN 5323 HARRY HINES BLVD
DALLAS, TX
75390-0001

Practice Phone: 214-645-8250
Practice Fax:

1437998119 — TIFFANY LU OD
Practice Location Address:

5303 HARRY HINES BLVD FL 6
DALLAS, TX
75390-7208

Practice Phone: 214-645-2020
Practice Fax:

1932603370 — DR. SHADAE K BEALE MD
Practice Location Address:

5323 HARRY HINES BLVD
DALLAS, TX
75390-5840

Practice Phone: 214-648-6430
Practice Fax:

1851973945 — PRACHI THAPAR DO
Practice Location Address:

5323 HARRY HINES BLVD
DALLAS, TX
75390-7201

Practice Phone: 214-648-3111
Practice Fax:

1477814085 — MARCO DA CUNHA PINHO MD
Practice Location Address:

5323 HARRY HINES BOULVARD
DALLAS, TX
75390-7201

Practice Phone: 214-648-3928
Practice Fax:

Directions to “ DEBRA MOORE BUSHONG LPC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.