MEDICARE: WISE COUNSEL & THERAPY, PLLC

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	:	1356930887
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WISE COUNSEL & THERAPY, PLLC

Provider Business Mailing Address
First Line	:	9722 DUSTY MANOR LN
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77494-4395
Country	:	US
Telephone Number	:	281-889-3155
Fax Number	:

Provider Business Practice Location Address
First Line	:	24200 VIA MAZZINI WAY STE 301
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77406-3439
Country	:	US
Telephone Number	:	281-889-3155
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. LISA HANCOCK
Credential	:	LPC
Telephone Number	:	281-889-3155

Provider Enumeration Date	:	01/11/2021
Last Update Date	:	06/22/2026

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