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NPI Code Detail

MEDICARE: MILLENNIAL LIFE COUNSELING

MEDICARE: MILLENNIAL LIFE COUNSELING
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1497378665
Entity Type Code : Organization
Provider Name (Legal Business Name) : MILLENNIAL LIFE COUNSELING
Provider Business Mailing Address
First Line : 829 SHERBROOK DR
Second Line :
City : RICHARDSON
State : TX
Zip : 75080-3015
Country : US
Telephone Number : 469-426-7234
Fax Number :
Provider Business Practice Location Address
First Line : 6750 HILLCREST PLAZA DR STE 224
Second Line :
City : DALLAS
State : TX
Zip : 75230-1441
Country : US
Telephone Number : 469-426-7234
Fax Number :
Authorized Official
Title or Position : OWNER, MANAGING MEMBER
Name : MRS. LIZ HIGGINS
Credential : LMFT
Telephone Number : 469-426-7234
Provider Enumeration Date : 05/22/2020
Last Update Date : 05/22/2020

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Directions to “MILLENNIAL LIFE COUNSELING ” Practice Location

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