MEDICARE: MRS. DAWN JAMES-RUSSELL

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	106H00000X	Marriage & Family Therapist	206223	TX

General Provider Information

NPI Number	:	1215887708
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DAWN JAMES-RUSSELL

Provider Business Mailing Address
First Line	:	1801 N HAMPTON RD STE 425
Second Line	:
City	:	DESOTO
State	:	TX
Zip	:	75115-2399
Country	:	US
Telephone Number	:	469-218-6800
Fax Number	:

Provider Business Practice Location Address
First Line	:	1801 N HAMPTON RD STE 425
Second Line	:
City	:	DESOTO
State	:	TX
Zip	:	75115-2399
Country	:	US
Telephone Number	:	469-218-6800
Fax Number	:

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

Provider Enumeration Date	:	02/02/2026
Last Update Date	:	02/02/2026

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