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NPI Code Detail

MEDICARE: MONICA PAVLOVSKY LPC

MEDICARE: MONICA PAVLOVSKY 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
1101YP2500XProfessional Counselor73159TX
2101YM0800XMental Health Counselor73159TX

General Provider Information

NPI Number : 1306305586
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONICA PAVLOVSKY LPC
Provider Business Mailing Address
First Line : 161 W 3RD ST STE 100
Second Line :
City : PROSPER
State : TX
Zip : 75078-2906
Country : US
Telephone Number : 844-824-8775
Fax Number :
Provider Business Practice Location Address
First Line : 161 W 3RD ST STE 100
Second Line :
City : PROSPER
State : TX
Zip : 75078-2906
Country : US
Telephone Number : 214-618-8402
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2019
Last Update Date : 05/29/2024

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Directions to “ MONICA PAVLOVSKY LPC” Practice Location

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