MARGERY DEE ELLEDGE BOUCHER MA MS LPC NPI 1487686184

NPI Information

  • NPI: 1487686184
  • Provider Name: MARGERY DEE ELLEDGE BOUCHER, MA, MS, LPC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 8625 KING GEORGE DR
    STE 111
    DALLAS, TX
    ZIP 75235
  • Phone: (214) 631-7002

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NPI Details

Margery Dee Elledge Boucher, MA, MS, LPC is a mental health counselor in Dallas, TX. Margery Dee Elledge Boucher, MA, MS, LPC NPI is 1487686184. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8625 KING GEORGE DR
STE 111
DALLAS, TX
ZIP 75235-215
Phone: (214) 631-7002

The enumeration date for this NPI number is 7/6/2006 and was last updated on 9/27/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthNo
2101YM0800XCounselorMental Health68192TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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