MEDICARE: KAREN DENISE FLISS LPC., LMFT

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	106H00000X	Marriage & Family Therapist	1218	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2299LC	OTHER	TX	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1972514602
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN DENISE FLISS LPC., LMFT

Provider Business Mailing Address
First Line	:	6945 WESTLAKE AVE
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75214-3543
Country	:	US
Telephone Number	:	214-321-8910
Fax Number	:	214-321-8912

Provider Business Practice Location Address
First Line	:	6945 WESTLAKE AVE
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75214-3543
Country	:	US
Telephone Number	:	214-321-8910
Fax Number	:	214-321-8912

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

Provider Enumeration Date	:	08/10/2006
Last Update Date	:	07/08/2007

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