Michele Markulec, LPC-A
Individual provider Active NPI Professional Counselor · Boyd, TX
NPI 1124839253 · NPPES record last updated Jan 17, 2025
Key facts
- NPI
- 1124839253
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 95439 (TX)
- Practice address
- 409 E Boyd Ave
Boyd, TX 76023-3023 - Phone
- (940) 353-5948
- NPI assigned
- Jan 17, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95439 | TX | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 95439 | TX | Yes |
Addresses
Primary practice location
409 E Boyd Ave
Boyd, TX 76023-3023
Mailing address
102 E Ridge St
Decatur, TX 76234-4719
Phone (817) 689-9691
Other practice location 1
102 E Ridge St
Decatur, TX 76234-4719
Phone (817) 689-9691
Other providers in Boyd, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.