MEDICARE: DALLAS COUNSELING & PSYCHOTHERAPY PLLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101Y00000X	Counselor
2	103TH0004X	Health Psychologist
3	106H00000X	Marriage & Family Therapist
4	101YM0800X	Mental Health Counselor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1952420044	OTHER	TX	MPI

General Provider Information

NPI Number	:	1538396940
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DALLAS COUNSELING & PSYCHOTHERAPY PLLC

Provider Business Mailing Address
First Line	:	13355 NOEL RD STE 1100
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75240-6694
Country	:	US
Telephone Number	:	972-755-0996
Fax Number	:	972-386-5229

Provider Business Practice Location Address
First Line	:	6380 LBJ FWY
Second Line	:	SUITE 299
City	:	DALLAS
State	:	TX
Zip	:	75240-6416
Country	:	US
Telephone Number	:	972-755-0996
Fax Number	:	972-386-5229

Authorized Official
Title or Position	:	DIRECTOR
Name	:	DR. HEATHER ROBBINS
Credential	:	PHD
Telephone Number	:	972-755-0996

Provider Enumeration Date	:	06/12/2009
Last Update Date	:	07/11/2023

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Directions to “DALLAS COUNSELING & PSYCHOTHERAPY PLLC ” Practice Location

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