MEDICARE: PHYLICIA BESS

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	90755	TX

General Provider Information

NPI Number	:	1942091343
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PHYLICIA BESS

Provider Business Mailing Address
First Line	:	2000 TWISTED TREE LN
Second Line	:
City	:	MESQUITE
State	:	TX
Zip	:	75181-4339
Country	:	US
Telephone Number	:	940-210-4214
Fax Number	:

Provider Business Practice Location Address
First Line	:	8140 WALNUT HILL LN STE 835
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75231-4328
Country	:	US
Telephone Number	:	469-247-0402
Fax Number	:

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

Provider Enumeration Date	:	05/14/2025
Last Update Date	:	05/14/2025

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Directions to “ PHYLICIA BESS ” Practice Location

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