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NPI Code Detail

MEDICARE: LIVING STONES COUNSELING SERVICES, LLC

MEDICARE: LIVING STONES COUNSELING SERVICES, LLC
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 : 1609545359
Entity Type Code : Organization
Provider Name (Legal Business Name) : LIVING STONES COUNSELING SERVICES, LLC
Provider Business Mailing Address
First Line : 11625 CUSTER RD STE 110-134
Second Line :
City : FRISCO
State : TX
Zip : 75035-8783
Country : US
Telephone Number : 469-768-7303
Fax Number :
Provider Business Practice Location Address
First Line : 11625 CUSTER RD STE 110-134
Second Line :
City : FRISCO
State : TX
Zip : 75035-8783
Country : US
Telephone Number : 469-768-7303
Fax Number :
Authorized Official
Title or Position : OWNER/MANAGER
Name : FELICIA C JONES
Credential :
Telephone Number : 469-768-7303
Provider Enumeration Date : 09/07/2021
Last Update Date : 09/07/2021

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Directions to “LIVING STONES COUNSELING SERVICES, LLC ” Practice Location

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