MEDICARE: MRS. CHRISTINE ENGLISH DAVIS 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
1	101YP2500X	Professional Counselor	61851	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1407105653	OTHER	TX	NEW HORIZONS: CENTER FOR HEALING

General Provider Information

NPI Number	:	1750632758
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CHRISTINE ENGLISH DAVIS LPC

Provider Business Mailing Address
First Line	:	4817 MEDICAL CENTER DR
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75069-1886
Country	:	US
Telephone Number	:	972-607-9650
Fax Number	:

Provider Business Practice Location Address
First Line	:	4817 MEDICAL CENTER DR
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75069-1886
Country	:	US
Telephone Number	:	972-607-9650
Fax Number	:

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

Provider Enumeration Date	:	10/01/2012
Last Update Date	:	01/22/2013

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