Provider Demographics
NPI:1326276411
Name:ABU-SAFI, MARY LABELLE (LPC)
Entity Type:Individual
Prefix:MRS
First Name:MARY
Middle Name:LABELLE
Last Name:ABU-SAFI
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MRS
Other - First Name:MARY
Other - Middle Name:
Other - Last Name:SAFI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:2001 DEERDFIELD DRIVE
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75007
Mailing Address - Country:US
Mailing Address - Phone:214-475-4018
Mailing Address - Fax:
Practice Address - Street 1:2828 EAST TRINITY MILLS RD. SUITE 100-A
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75006
Practice Address - Country:US
Practice Address - Phone:214-475-4018
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-26
Last Update Date:2020-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX61373101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional