MEDICARE: NEST COUNSELING, LLC

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	251B00000X	Case Management Agency	71872	TX

General Provider Information

NPI Number	:	1194178442
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEST COUNSELING, LLC

Provider Business Mailing Address
First Line	:	9284 HUNTINGTON SQ
Second Line	:
City	:	NORTH RICHLAND HILLS
State	:	TX
Zip	:	76182-4366
Country	:	US
Telephone Number	:	817-771-9016
Fax Number	:

Provider Business Practice Location Address
First Line	:	9284 HUNTINGTON SQ
Second Line	:
City	:	NORTH RICHLAND HILLS
State	:	TX
Zip	:	76182-4366
Country	:	US
Telephone Number	:	817-771-9016
Fax Number	:

Authorized Official
Title or Position	:	LPC/ OWNER
Name	:	MRS. DESIREE DENISE WOODSIDE
Credential	:	LPC
Telephone Number	:	817-771-9016

Provider Enumeration Date	:	07/21/2016
Last Update Date	:	07/21/2016

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