MEDICARE: THE RESOLUTION CENTER

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
1	101YP2500X	Professional Counselor	14761	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	366836	OTHER	TX	MENTAL HEALTH NETWORK PIN

General Provider Information

NPI Number	:	1114081148
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE RESOLUTION CENTER

Provider Business Mailing Address
First Line	:	17625 EL CAMINO REAL
Second Line	:	SUITE 160
City	:	HOUSTON
State	:	TX
Zip	:	77058-3052
Country	:	US
Telephone Number	:	281-286-0110
Fax Number	:	281-286-0041

Provider Business Practice Location Address
First Line	:	17625 EL CAMINO REAL
Second Line	:	SUITE 160
City	:	HOUSTON
State	:	TX
Zip	:	77058-3052
Country	:	US
Telephone Number	:	281-286-0110
Fax Number	:	281-286-0041

Authorized Official
Title or Position	:	THERAPIST, COUNSELOR
Name	:	MRS. CANDY CRESS DECKER
Credential	:	LPC, MA, CFC
Telephone Number	:	281-286-0110

Provider Enumeration Date	:	12/21/2006
Last Update Date	:	07/10/2008

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Directions to “THE RESOLUTION CENTER ” Practice Location

Language	Start Address	Practice Location

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