MEDICARE: MARY OKAFOR

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	15688	TX
2	101YP2500X	Professional Counselor	15688	TX
3	101Y00000X	Counselor	15688	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	6123LC	OTHER	TX	BC/BS PIN
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	155451	OTHER	TX	VALUE OPTIONS PIN
4	7896512	OTHER	TX	AETNA PIN
5	H06123LC01	OTHER	TX	BC/BS PIN

General Provider Information

NPI Number	:	1144232380
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY OKAFOR

Provider Business Mailing Address
First Line	:	8035 E RL THRTN FWY STE 512
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75228-7022
Country	:	US
Telephone Number	:	214-415-0871
Fax Number	:	877-773-9382

Provider Business Practice Location Address
First Line	:	8035 E RL THRTN FWY STE 512
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75228-7022
Country	:	US
Telephone Number	:	214-415-0871
Fax Number	:	877-773-9382

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

Provider Enumeration Date	:	08/13/2006
Last Update Date	:	06/15/2026

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Directions to “ MARY OKAFOR ” Practice Location

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