Provider Demographics
NPI:1205984788
Name:APPEL, MANDY DOREEN (LCSW)
Entity type:Individual
Prefix:MRS
First Name:MANDY
Middle Name:DOREEN
Last Name:APPEL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1008 LEVANT LN
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75094-4553
Mailing Address - Country:US
Mailing Address - Phone:972-859-9523
Mailing Address - Fax:
Practice Address - Street 1:1008 LEVANT LN
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75094-4553
Practice Address - Country:US
Practice Address - Phone:972-859-9523
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251781041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical