Provider Demographics
NPI:1023252194
Name:ARNOLD, MOLLY M (PHD)
Entity type:Individual
Prefix:DR
First Name:MOLLY
Middle Name:M
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:MOLLY
Other - Middle Name:ARNOLD
Other - Last Name:KUZMICH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:6021 MORRISS ROAD
Mailing Address - Street 2:SUITE 110A
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028
Mailing Address - Country:US
Mailing Address - Phone:972-754-7308
Mailing Address - Fax:972-219-9948
Practice Address - Street 1:6021 MORRISS ROAD
Practice Address - Street 2:SUITE 110A
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75028
Practice Address - Country:US
Practice Address - Phone:972-754-7308
Practice Address - Fax:972-219-9948
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-20
Last Update Date:2013-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16776101YP2500X
TX200885106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX167505001Medicaid