Tamika D Russell, LPC is a
Community/behavioral Health based in Desoto, Texas. Tamika D Russell is licensed to practice in Texas (license number 81523) and her current practice location is
938 Marisa Ln, Desoto, Texas. She can be reached at her office (for appointments etc.) via phone at
(214) 799-0045.
NPI number for Tamika D Russell is 1427659853 and her current mailing address is 938 Marisa Ln, Desoto, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1427659853.
Healthcare Provider's Profile
Full Name | Tamika D Russell |
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Gender | Female |
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Speciality | Community/behavioral Health |
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Location | 938 Marisa Ln, Desoto, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1427659853
- Provider Enumeration Date: 11/03/2020
- Last Update Date: 02/18/2021
Medical Identifiers
Medical identifiers for Tamika D Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1427659853 | NPI | - | NPPES |
418990401 | Medicaid | TX | |
4056772 | Medicaid | TX | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | 81523 (Texas) | Secondary |
251S00000X | Community/behavioral Health | 81523 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tamika D Russell is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Tamika D Russell, LPC 938 Marisa Ln, Desoto, TX 75115-3880 Ph: (214) 799-0045 | Tamika D Russell, LPC 938 Marisa Ln, Desoto, TX 75115-3880 Ph: (214) 799-0045 |
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