MEDICARE: TRIPLE C LIFE CHANGING ENCOUNTERS

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

General Provider Information

NPI Number	:	1306568217
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRIPLE C LIFE CHANGING ENCOUNTERS

Provider Business Mailing Address
First Line	:	PO BOX 73792
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77273-3792
Country	:	US
Telephone Number	:	281-687-7053
Fax Number	:	832-617-8347

Provider Business Practice Location Address
First Line	:	505 N SAM HOUSTON PKWY E STE 303
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77060-4086
Country	:	US
Telephone Number	:	281-687-7053
Fax Number	:	832-617-8347

Authorized Official
Title or Position	:	OFFICE ASSISTANT
Name	:	ROSA OLIVO
Credential	:
Telephone Number	:	832-585-7608

Provider Enumeration Date	:	09/16/2022
Last Update Date	:	06/24/2025

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Directions to “TRIPLE C LIFE CHANGING ENCOUNTERS ” Practice Location

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