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NPI Code Detail

MEDICARE: MARY MOTT

MEDICARE: MARY MOTT
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
1106H00000XMarriage & Family Therapist206322TX

General Provider Information

NPI Number : 1447102371
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY MOTT
Provider Business Mailing Address
First Line : 3804 CREEKSIDE LN
Second Line :
City : CARROLLTON
State : TX
Zip : 75010-6456
Country : US
Telephone Number : 512-938-7717
Fax Number :
Provider Business Practice Location Address
First Line : 2300 ROCKBROOK DR STE A
Second Line :
City : LEWISVILLE
State : TX
Zip : 75067-8179
Country : US
Telephone Number : 512-968-7717
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2026
Last Update Date : 02/12/2026

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Directions to “ MARY MOTT ” Practice Location

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