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NPI Code Detail

MEDICARE: MOBILE COUNSELING, PLLC

MEDICARE: MOBILE COUNSELING, PLLC
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
1101Y00000XCounselor62980TX

General Provider Information

NPI Number : 1417340753
Entity Type Code : Organization
Provider Name (Legal Business Name) : MOBILE COUNSELING, PLLC
Provider Business Mailing Address
First Line : 1910 PACIFIC AVE
Second Line : SUITE 8014
City : DALLAS
State : TX
Zip : 75201-4529
Country : US
Telephone Number : 214-542-5642
Fax Number : 888-972-6925
Provider Business Practice Location Address
First Line : 1910 PACIFIC AVE
Second Line : SUITE 8014
City : DALLAS
State : TX
Zip : 75201-4529
Country : US
Telephone Number : 214-542-5642
Fax Number : 888-972-6925
Authorized Official
Title or Position : OWNER
Name : MISS CAROLYN (JANIE) STUBBLEFIELD
Credential : MA, LPC-S
Telephone Number : 214-542-5642
Provider Enumeration Date : 03/11/2015
Last Update Date : 03/11/2015

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Directions to “MOBILE COUNSELING, PLLC ” Practice Location

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