Mindi Lee Malcom
Individual provider Active NPI Professional Counselor · Krum, TX
NPI 1497498331 · NPPES record last updated Apr 19, 2022
Key facts
- NPI
- 1497498331
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- Practice address
- 14600 Farm to Market Road 1173
Krum, TX 76249 - Phone
- (940) 300-4840
- NPI assigned
- Apr 19, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Yes |
Addresses
Primary practice location
14600 Farm to Market Road 1173
Krum, TX 76249
Mailing address
14600 Farm to Market Road 1173
Krum, TX 76249
Phone (940) 300-4840
Other providers in Krum, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 19, 2022. 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.