MEDICARE: DR. SAVITA ABRAHAMS PH.D., LPC-S, NCC

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	19917	TX

General Provider Information

NPI Number	:	1316102304
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SAVITA ABRAHAMS PH.D., LPC-S, NCC

Provider Business Mailing Address
First Line	:	PO BOX 182982
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76096-2982
Country	:	US
Telephone Number	:	817-917-5511
Fax Number	:	972-641-7275

Provider Business Practice Location Address
First Line	:	1901 SOUTHEAST PKWY STE 111
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76018-3605
Country	:	US
Telephone Number	:	817-917-5511
Fax Number	:	972-641-7275

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

Provider Enumeration Date	:	07/19/2008
Last Update Date	:	07/19/2008

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