MEDICARE: MS. JASMINE TYLER WESTBROOK LCSW, LADC, LIMHP

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	3881	NE
2	1041C0700X	Clinical Social Worker	118073	TX

General Provider Information

NPI Number	:	1124796487
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JASMINE TYLER WESTBROOK LCSW, LADC, LIMHP

Provider Business Mailing Address
First Line	:	610 S WATTERS RD # 130
Second Line	:
City	:	ALLEN
State	:	TX
Zip	:	75013-5008
Country	:	US
Telephone Number	:	469-228-4228
Fax Number	:

Provider Business Practice Location Address
First Line	:	610 S WATTERS RD # 130
Second Line	:
City	:	ALLEN
State	:	TX
Zip	:	75013-5008
Country	:	US
Telephone Number	:	402-228-4228
Fax Number	:

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

Provider Enumeration Date	:	09/01/2021
Last Update Date	:	02/03/2026

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