MEDICARE: ABOVE ANGELS INC

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	101YM0800X	Mental Health Counselor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	43146912	OTHER	TX	TEXAS DMV

General Provider Information

NPI Number	:	1134758139
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABOVE ANGELS INC

Provider Business Mailing Address
First Line	:	7927 COOK RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77072-3248
Country	:	US
Telephone Number	:	832-755-1027
Fax Number	:

Provider Business Practice Location Address
First Line	:	7927 COOK RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77072-3248
Country	:	US
Telephone Number	:	832-755-1027
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	NICOLE WANJIKU MACHARIA
Credential	:	NURSE
Telephone Number	:	832-755-1027

Provider Enumeration Date	:	04/02/2020
Last Update Date	:	04/02/2020

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Directions to “ABOVE ANGELS INC ” Practice Location

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