MEDICARE: KHAN FAMILY COUNSELING 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
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1184249708
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KHAN FAMILY COUNSELING PLLC

Provider Business Mailing Address
First Line	:	6204 PARKSIDE DR
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76001-8434
Country	:	US
Telephone Number	:	817-823-7661
Fax Number	:	682-213-4477

Provider Business Practice Location Address
First Line	:	6204 PARKSIDE DR
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76001-8434
Country	:	US
Telephone Number	:	817-823-7661
Fax Number	:

Authorized Official
Title or Position	:	SOLE MEMBER/PROVIDER
Name	:	MRS. FILZA KHAN
Credential	:	LMFT
Telephone Number	:	817-823-7661

Provider Enumeration Date	:	06/09/2020
Last Update Date	:	01/16/2024

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