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NPI Code Detail

MEDICARE: TXM CONSULTATIVE SERVICES, PLLC

MEDICARE: TXM CONSULTATIVE SERVICES, PLLC
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
1101Y00000XCounselor
2101YM0800XMental Health Counselor
3101YP2500XProfessional Counselor
41041C0700XClinical Social Worker
5261QM0855XAdolescent and Children Mental Health Clinic/Center
6261QM0850XAdult Mental Health Clinic/Center

General Provider Information

NPI Number : 1154144541
Entity Type Code : Organization
Provider Name (Legal Business Name) : TXM CONSULTATIVE SERVICES, PLLC
Provider Business Mailing Address
First Line : 2182 MIDDLEBURY DR
Second Line :
City : AURORA
State : IL
Zip : 60503-5435
Country : US
Telephone Number : 630-923-5838
Fax Number : 630-618-3658
Provider Business Practice Location Address
First Line : 3333 WARRENVILLE RD STE 200
Second Line :
City : LISLE
State : IL
Zip : 60532-1999
Country : US
Telephone Number : 630-923-5838
Fax Number : 630-618-3658
Authorized Official
Title or Position : OWNER/CLINICIAN
Name : CLIFTON GEORGE BURNS JR.
Credential : LCPC
Telephone Number : 630-923-5838
Provider Enumeration Date : 11/04/2024
Last Update Date : 02/06/2025

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Directions to “TXM CONSULTATIVE SERVICES, PLLC ” Practice Location

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