| Marilee J. Block, Ma, Lpc, Pllc | |
|
508 Grace St Waxahachie TX 75165-3046 | |
| (214) 301-2974 | |
| (972) 923-3886 |
| Full Name | Marilee J. Block, Ma, Lpc, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 508 Grace St, Waxahachie, Texas |
| Authorized Official Name and Position | Marilee Jane Block (SOLE PROPRIETOR : MANAGER) |
| Authorized Official Contact | 2143012974 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marilee J. Block, Ma, Lpc, Pllc 4836 Fm 813 Waxahachie TX 75165-8910 Ph: (214) 301-2974 | Marilee J. Block, Ma, Lpc, Pllc 508 Grace St Waxahachie TX 75165-3046 Ph: (214) 301-2974 |
| NPI Number | 1750757225 |
|---|---|
| Provider Enumeration Date | 08/19/2015 |
| Last Update Date | 08/19/2015 |
| Medicare PECOS PAC ID | 0547607848 |
|---|---|
| Medicare Enrollment ID | O20240322000118 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750757225 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 68519 (Texas) | Primary |
| Provider Name | Marilee Jane Block |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437591872 PECOS PAC ID: 1456798750 Enrollment ID: I20240322000243 |
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