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NPI Code Detail

MEDICARE: NLW COUNSELING SERVICES, PLLC

MEDICARE: NLW COUNSELING 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
1101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1265209217
Entity Type Code : Organization
Provider Name (Legal Business Name) : NLW COUNSELING SERVICES, PLLC
Provider Business Mailing Address
First Line : 300 DECKER DR STE 360
Second Line :
City : IRVING
State : TX
Zip : 75062-8189
Country : US
Telephone Number : 214-519-9293
Fax Number : 214-275-5592
Provider Business Practice Location Address
First Line : 300 DECKER DR STE 360
Second Line :
City : IRVING
State : TX
Zip : 75062-8189
Country : US
Telephone Number : 214-519-9293
Fax Number : 214-275-5592
Authorized Official
Title or Position : OWNER, THERAPIST
Name : NICOLE WATSON
Credential : LPC
Telephone Number : 214-519-9293
Provider Enumeration Date : 12/11/2023
Last Update Date : 01/05/2026

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