MEDICARE: MARIA DA SILVA L.P.C.

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	68150	TX

General Provider Information

NPI Number	:	1174960462
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA DA SILVA L.P.C.

Provider Business Mailing Address
First Line	:	18800 EGRET BAY BLVD
Second Line	:	SUITE 1613
City	:	HOUSTON
State	:	TX
Zip	:	77058-3834
Country	:	US
Telephone Number	:	713-366-6988
Fax Number	:

Provider Business Practice Location Address
First Line	:	2600 S SHORE BLVD
Second Line	:	SUITE 300
City	:	LEAGUE CITY
State	:	TX
Zip	:	77573-2943
Country	:	US
Telephone Number	:	713-366-6988
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/28/2013
Last Update Date	:	05/31/2013

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