Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Mary Lane Mickens

Individual provider Professional Counselor · NPI 1265594345

Mrs. Mary Lane Mickens is a Professional Counselor in Texarkana, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2006

Practice location Address checks out

5221 N Park Rd
Texarkana, TX 75503-2664
Phone: (903) 791-1051
Fax: (903) 791-1053
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 19530 (TX)

Record details

NPI number1265594345
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 14, 2006
Last updated in NPPESJuly 8, 2007

Other providers in Texarkana