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NPI Code Detail

MEDICARE: BA BUNANSA MS, LPC, NCC, BC-TMH

MEDICARE: BA BUNANSA MS, LPC, NCC, BC-TMH
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 Counselor82282TX

General Provider Information

NPI Number : 1952079733
Entity Type Code : Individual
Provider Name (Legal Business Name) : BA BUNANSA MS, LPC, NCC, BC-TMH
Provider Business Mailing Address
First Line : 4965 PRESTON PARK BLVD STE 700
Second Line :
City : PLANO
State : TX
Zip : 75093-5141
Country : US
Telephone Number : 214-760-6963
Fax Number : 214-387-1394
Provider Business Practice Location Address
First Line : 1820 PRESTON PARK BLVD STE 2200
Second Line :
City : PLANO
State : TX
Zip : 75093-3614
Country : US
Telephone Number : 214-760-6963
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2021
Last Update Date : 02/07/2026

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Directions to “ BA BUNANSA MS, LPC, NCC, BC-TMH” Practice Location

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