MEDICARE: ELLICIA DAWN MONEY

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	63725	TX

General Provider Information

NPI Number	:	1093354524
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELLICIA DAWN MONEY

Provider Business Mailing Address
First Line	:	2108 DALLAS PKWY STE 2141032
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75093-4362
Country	:	US
Telephone Number	:	214-244-0852
Fax Number	:

Provider Business Practice Location Address
First Line	:	2108 DALLAS PKWY
Second Line	:	STE 214-302
City	:	PLANO
State	:	TX
Zip	:	75093-4362
Country	:	US
Telephone Number	:	214-244-0852
Fax Number	:

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

Provider Enumeration Date	:	01/01/2020
Last Update Date	:	01/01/2020

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Directions to “ ELLICIA DAWN MONEY ” Practice Location

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