MEDICARE: THE CARING SHOP

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	103TC1900X	Counseling Psychologist

General Provider Information

NPI Number	:	1124760020
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE CARING SHOP

Provider Business Mailing Address
First Line	:	1824 RIDGECREST DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77055-2015
Country	:	US
Telephone Number	:	281-787-4359
Fax Number	:

Provider Business Practice Location Address
First Line	:	720 N POST OAK RD STE 280
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77024-3813
Country	:	US
Telephone Number	:	281-787-4359
Fax Number	:

Authorized Official
Title or Position	:	THERAPIST
Name	:	CARLI PACKARD
Credential	:	LPC
Telephone Number	:	281-787-4359

Provider Enumeration Date	:	04/11/2022
Last Update Date	:	04/11/2022

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Directions to “THE CARING SHOP ” Practice Location

Language	Start Address	Practice Location

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