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NPI Code Detail

MEDICARE: LUCINDA CREDE IRBY

MEDICARE: LUCINDA CREDE IRBY
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 : 1932075488
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUCINDA CREDE IRBY
Provider Business Mailing Address
First Line : 2266 COUNTY LINE RD
Second Line :
City : WHITESBORO
State : TX
Zip : 76273-4606
Country : US
Telephone Number : 972-365-6862
Fax Number :
Provider Business Practice Location Address
First Line : 416 E MAIN ST
Second Line :
City : DENISON
State : TX
Zip : 75021-2822
Country : US
Telephone Number : 903-465-6344
Fax Number : 903-465-5943
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2025
Last Update Date : 10/13/2025

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Directions to “ LUCINDA CREDE IRBY ” Practice Location

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