MEDICARE: JENNIFER MURILLO LCSW

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	104361	TX

General Provider Information

NPI Number	:	1710848502
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER MURILLO LCSW

Provider Business Mailing Address
First Line	:	5828 SARAMAC DR
Second Line	:
City	:	WATAUGA
State	:	TX
Zip	:	76148-3505
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9153 BELSHIRE DR STE 140
Second Line	:
City	:	NORTH RICHLAND HILLS
State	:	TX
Zip	:	76182-7643
Country	:	US
Telephone Number	:	817-440-4673
Fax Number	:

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

Provider Enumeration Date	:	11/20/2025
Last Update Date	:	11/20/2025

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Directions to “ JENNIFER MURILLO LCSW” Practice Location

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