MEDICARE: MICHAEL BRETT MCMAHON

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	101YM0800X	Mental Health Counselor	14280	TX

General Provider Information

NPI Number	:	1477420792
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL BRETT MCMAHON

Provider Business Mailing Address
First Line	:	15006 BIG SPRING PARK DR
Second Line	:
City	:	CYPRESS
State	:	TX
Zip	:	77433-4271
Country	:	US
Telephone Number	:	832-746-2271
Fax Number	:

Provider Business Practice Location Address
First Line	:	15006 BIG SPRING PARK DR
Second Line	:
City	:	CYPRESS
State	:	TX
Zip	:	77433-4271
Country	:	US
Telephone Number	:	832-746-2271
Fax Number	:

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

Provider Enumeration Date	:	10/21/2025
Last Update Date	:	10/21/2025

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