MEDICARE: EMILEE ASCHENBRENNER MS, 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
1	101YP2500X	Professional Counselor	66984	TX

General Provider Information

NPI Number	:	1972862993
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILEE ASCHENBRENNER MS, LPC

Provider Business Mailing Address
First Line	:	3020 BROADMOOR LN STE 200
Second Line	:
City	:	FLOWER MOUND
State	:	TX
Zip	:	75022-2705
Country	:	US
Telephone Number	:	972-539-7373
Fax Number	:	469-645-2028

Provider Business Practice Location Address
First Line	:	3020 BROADMOOR LN STE 200
Second Line	:
City	:	FLOWER MOUND
State	:	TX
Zip	:	75022-2705
Country	:	US
Telephone Number	:	972-539-7373
Fax Number	:	469-645-2028

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

Provider Enumeration Date	:	05/10/2012
Last Update Date	:	01/03/2021

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