MEDICARE: MS. GLORIA L. MARTIN LPC, LMFT

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	16868	TX
2	106H00000X	Marriage & Family Therapist	004974042772	TX

General Provider Information

NPI Number	:	1598815755
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. GLORIA L. MARTIN LPC, LMFT

Provider Business Mailing Address
First Line	:	7502 GREENVILLE AVE.
Second Line	:	SUITE 500
City	:	DALLAS
State	:	TX
Zip	:	75231-3812
Country	:	US
Telephone Number	:	214-890-4047
Fax Number	:	214-890-9295

Provider Business Practice Location Address
First Line	:	7502 GREENVILLE AVE.
Second Line	:	SUITE 500
City	:	DALLAS
State	:	TX
Zip	:	75231-3812
Country	:	US
Telephone Number	:	214-890-4047
Fax Number	:	214-890-9295

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

Provider Enumeration Date	:	01/11/2007
Last Update Date	:	09/11/2025

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