MEDICARE: AIMEE TANOS LPC

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	62538	TX

General Provider Information

NPI Number	:	1295061521
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AIMEE TANOS LPC

Provider Business Mailing Address
First Line	:	2300 HIGHLAND VILLAGE RD
Second Line	:
City	:	HIGHLAND VILLAGE
State	:	TX
Zip	:	75077-7148
Country	:	US
Telephone Number	:	817-726-8927
Fax Number	:

Provider Business Practice Location Address
First Line	:	2300 HIGHLAND VILLAGE RD
Second Line	:
City	:	HIGHLAND VILLAGE
State	:	TX
Zip	:	75077-7148
Country	:	US
Telephone Number	:	817-726-8927
Fax Number	:

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

Provider Enumeration Date	:	10/21/2009
Last Update Date	:	06/26/2026

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