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NPI Code Detail

MEDICARE: ABERNATHY COUNSELING LLC

MEDICARE: ABERNATHY COUNSELING LLC
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
1101YA0400XAddiction (Substance Use Disorder) Counselor
2101Y00000XCounselor

General Provider Information

NPI Number : 1336740554
Entity Type Code : Organization
Provider Name (Legal Business Name) : ABERNATHY COUNSELING LLC
Provider Business Mailing Address
First Line : 505 N MORRIS ST
Second Line :
City : MCKINNEY
State : TX
Zip : 75069-3645
Country : US
Telephone Number : 469-343-1901
Fax Number :
Provider Business Practice Location Address
First Line : 1833 W HUNT ST BLDG B
Second Line :
City : MCKINNEY
State : TX
Zip : 75069-3367
Country : US
Telephone Number : 469-343-1901
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : ASHLEY PAYNE ABERNATHY
Credential :
Telephone Number : 972-822-5853
Provider Enumeration Date : 11/04/2020
Last Update Date : 11/04/2020

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