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NPI Code Detail

MEDICARE: EMPOWERED HEALING DALLAS

MEDICARE: EMPOWERED HEALING DALLAS
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
1103TC1900XCounseling Psychologist

General Provider Information

NPI Number : 1568029734
Entity Type Code : Organization
Provider Name (Legal Business Name) : EMPOWERED HEALING DALLAS
Provider Business Mailing Address
First Line : 12720 HILLCREST RD STE 106
Second Line :
City : DALLAS
State : TX
Zip : 75230-7121
Country : US
Telephone Number : 214-417-5328
Fax Number :
Provider Business Practice Location Address
First Line : 12720 HILLCREST RD STE 106
Second Line :
City : DALLAS
State : TX
Zip : 75230-7121
Country : US
Telephone Number : 214-417-5328
Fax Number :
Authorized Official
Title or Position : LICENSED PSYCHOLOGIST
Name : DR. BRITTANY ESCURIEX
Credential : PH.D.
Telephone Number : 214-417-5328
Provider Enumeration Date : 05/23/2019
Last Update Date : 09/28/2022

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Directions to “EMPOWERED HEALING DALLAS ” Practice Location

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