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NPI Code Detail

MEDICARE: MACY DANIELLE FAUST

MEDICARE: MACY DANIELLE FAUST
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 CounselorTX

General Provider Information

NPI Number : 1902615701
Entity Type Code : Individual
Provider Name (Legal Business Name) : MACY DANIELLE FAUST
Provider Business Mailing Address
First Line : 5751 KROGER DR STE 114
Second Line :
City : FORT WORTH
State : TX
Zip : 76244-5633
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5751 KROGER DR STE 114
Second Line :
City : FORT WORTH
State : TX
Zip : 76244-5633
Country : US
Telephone Number : 682-593-1402
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2025
Last Update Date : 01/06/2025

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Directions to “ MACY DANIELLE FAUST ” Practice Location

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