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NPI Code Detail

MEDICARE: TENLEY GUMMELT LPC

MEDICARE:   TENLEY  GUMMELT  LPC
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 Counselor78430TX
2101Y00000XCounselor78430TX

General Provider Information

NPI Number : 1700583390
Entity Type Code : Individual
Provider Name (Legal Business Name) : TENLEY GUMMELT LPC
Provider Business Mailing Address
First Line : 6275 W PLANO PKWY STE 500
Second Line :
City : PLANO
State : TX
Zip : 75093-4942
Country : US
Telephone Number : 469-269-5467
Fax Number :
Provider Business Practice Location Address
First Line : 6275 W PLANO PKWY STE 500
Second Line :
City : PLANO
State : TX
Zip : 75093-4942
Country : US
Telephone Number : 469-269-5467
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2023
Last Update Date : 03/27/2025

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Directions to “ TENLEY GUMMELT LPC” Practice Location

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