MEDICARE: APPLE COUNSELING & CONSULTING

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	19034	TX

General Provider Information

NPI Number	:	1790078194
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	APPLE COUNSELING & CONSULTING

Provider Business Mailing Address
First Line	:	4141 BLUE LAKE CIR
Second Line	:	SUITE 137
City	:	DALLAS
State	:	TX
Zip	:	75244-5132
Country	:	US
Telephone Number	:	214-537-0025
Fax Number	:	972-534-1595

Provider Business Practice Location Address
First Line	:	4141 BLUE LAKE CIR
Second Line	:	SUITE 137
City	:	DALLAS
State	:	TX
Zip	:	75244-5132
Country	:	US
Telephone Number	:	214-537-0025
Fax Number	:	972-534-1595

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MICHELLE APPLE
Credential	:	LCSW
Telephone Number	:	214-537-0025

Provider Enumeration Date	:	05/18/2011
Last Update Date	:	05/18/2011

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Directions to “APPLE COUNSELING & CONSULTING ” Practice Location

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