Provider Demographics
NPI:1154055291
Name:PROPST, MOLLY MARLO (LPC)
Entity Type:Individual
Prefix:
First Name:MOLLY
Middle Name:MARLO
Last Name:PROPST
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14710 OVERVIEW DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75254-8124
Mailing Address - Country:US
Mailing Address - Phone:806-319-1161
Mailing Address - Fax:
Practice Address - Street 1:1101 RAINTREE CIR STE 180
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-4923
Practice Address - Country:US
Practice Address - Phone:940-437-4905
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-14
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX89222101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor