MEDICARE: MAKE US ONE COUNSELING & CONSULTING SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	261QM0850X	Adult Mental Health Clinic/Center
2	261QM0855X	Adolescent and Children Mental Health Clinic/Center
3	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1386345825
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAKE US ONE COUNSELING & CONSULTING SERVICES

Provider Business Mailing Address
First Line	:	PO BOX 1031
Second Line	:
City	:	TYRONE
State	:	GA
Zip	:	30290-1031
Country	:	US
Telephone Number	:	316-208-3783
Fax Number	:	469-277-1280

Provider Business Practice Location Address
First Line	:	5900 S LAKE FOREST DR
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75070-2193
Country	:	US
Telephone Number	:	469-298-8091
Fax Number	:	469-277-1280

Authorized Official
Title or Position	:	OWNER/PSYCHOTHERAPIST
Name	:	GENEE FRANCIS
Credential	:
Telephone Number	:	469-298-8091

Provider Enumeration Date	:	03/13/2023
Last Update Date	:	03/13/2023

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