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NPI Code Detail

MEDICARE: LEAH FELICE HENRY

MEDICARE:   LEAH FELICE HENRY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor
2106S00000XBehavior Technician

General Provider Information

NPI Number : 1093422610
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEAH FELICE HENRY
Provider Business Mailing Address
First Line : 7500 SAN FELIPE ST STE 990
Second Line :
City : HOUSTON
State : TX
Zip : 77063-1708
Country : US
Telephone Number : 866-610-0580
Fax Number : 866-611-1558
Provider Business Practice Location Address
First Line : 32502 TAMINA RD
Second Line :
City : MAGNOLIA
State : TX
Zip : 77354-7450
Country : US
Telephone Number : 936-206-5158
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2022
Last Update Date : 01/13/2025

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Directions to “ LEAH FELICE HENRY ” Practice Location

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