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NPI Code Detail

MEDICARE: KNOWN COUNSELING, PLLC

MEDICARE: KNOWN COUNSELING, PLLC
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
1101YP2500XProfessional Counselor
2101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1063984904
Entity Type Code : Organization
Provider Name (Legal Business Name) : KNOWN COUNSELING, PLLC
Provider Business Mailing Address
First Line : PO BOX 190867
Second Line :
City : DALLAS
State : TX
Zip : 75219-0867
Country : US
Telephone Number : 214-717-9981
Fax Number :
Provider Business Practice Location Address
First Line : 3500 OAK LAWN AVE STE 730
Second Line :
City : DALLAS
State : TX
Zip : 75219-6721
Country : US
Telephone Number : 214-717-9981
Fax Number :
Authorized Official
Title or Position : OWNER, LPC
Name : ALLISON WILLIAMS
Credential : LPC, NCC
Telephone Number : 214-769-1415
Provider Enumeration Date : 12/17/2018
Last Update Date : 02/06/2022

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