MEDICARE: MS. PAULETTE R ROLLINS LPC, NCC

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	17334	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093927501
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. PAULETTE R ROLLINS LPC, NCC

Provider Business Mailing Address
First Line	:	3924 MISSION RIDGE
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75023-5714
Country	:	US
Telephone Number	:	214-868-0016
Fax Number	:	425-962-0016

Provider Business Practice Location Address
First Line	:	2801 REGAL RD
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75075-6315
Country	:	US
Telephone Number	:	214-868-0016
Fax Number	:	425-962-0016

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

Provider Enumeration Date	:	05/04/2007
Last Update Date	:	07/08/2007

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