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NPI Code Detail

MEDICARE: DR. TAISH MALONE LPC-S

MEDICARE: DR. TAISH MALONE LPC-S
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 Counselor73190TX

General Provider Information

NPI Number : 1134664105
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TAISH MALONE LPC-S
Provider Business Mailing Address
First Line : 2000 E LAMAR BLVD STE 600
Second Line :
City : ARLINGTON
State : TX
Zip : 76006-7361
Country : US
Telephone Number : 214-702-2319
Fax Number :
Provider Business Practice Location Address
First Line : 2000 E LAMAR BLVD STE 600
Second Line :
City : ARLINGTON
State : TX
Zip : 76006-7361
Country : US
Telephone Number : 214-702-2319
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/30/2016
Last Update Date : 03/02/2026

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Directions to “ DR. TAISH MALONE LPC-S” Practice Location

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