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NPI Code Detail

MEDICARE: MS. CHERYL MAYFIELD LPC

MEDICARE: MS. CHERYL MAYFIELD 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
1101YP2500XProfessional Counselor19587TX

General Provider Information

NPI Number : 1932301082
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CHERYL MAYFIELD LPC
Provider Business Mailing Address
First Line : 5931 DESCO DR
Second Line :
City : DALLAS
State : TX
Zip : 75225-1604
Country : US
Telephone Number : 254-412-2667
Fax Number : 254-799-5768
Provider Business Practice Location Address
First Line : 185 EASTGATE PLZ
Second Line :
City : WACO
State : TX
Zip : 76705-2868
Country : US
Telephone Number : 254-412-2667
Fax Number : 254-799-5768
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2007
Last Update Date : 07/08/2007

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