MEDICARE: GILMA YESSENIA MARTINEZ MA,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	80372	TX

General Provider Information

NPI Number	:	1164187258
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GILMA YESSENIA MARTINEZ MA,LPC,NCC

Provider Business Mailing Address
First Line	:	425 PINSON RD STE M2124
Second Line	:
City	:	FORNEY
State	:	TX
Zip	:	75126-9774
Country	:	US
Telephone Number	:	469-290-4004
Fax Number	:

Provider Business Practice Location Address
First Line	:	211 E MOORE AVE STE F
Second Line	:
City	:	TERRELL
State	:	TX
Zip	:	75160-3207
Country	:	US
Telephone Number	:	469-290-4004
Fax Number	:

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

Provider Enumeration Date	:	11/03/2021
Last Update Date	:	03/05/2026

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