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NPI Code Detail

MEDICARE: SANDRA KAY FLEMING LPCS

MEDICARE: SANDRA KAY FLEMING LPCS
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
1101YP2500XProfessional Counselor17602TX
2101YM0800XMental Health Counselor17602TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1588765515
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANDRA KAY FLEMING LPCS
Provider Business Mailing Address
First Line : 1211 W GOODWIN ST UNIT B
Second Line :
City : PLEASANTON
State : TX
Zip : 78064-3997
Country : US
Telephone Number : 210-639-8250
Fax Number :
Provider Business Practice Location Address
First Line : 19965 FM 3175
Second Line :
City : LYTLE
State : TX
Zip : 78052-3481
Country : US
Telephone Number : 210-357-0300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2006
Last Update Date : 01/02/2024

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Directions to “ SANDRA KAY FLEMING LPCS” Practice Location

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