MEDICARE: NAOMI MADELL-HERNANDEZ LMFT

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	106H00000X	Marriage & Family Therapist	LMFT	TX

General Provider Information

NPI Number	:	1366557753
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NAOMI MADELL-HERNANDEZ LMFT

Provider Business Mailing Address
First Line	:	3422 BUSINESS CENTER DR STE 106-1166
Second Line	:
City	:	PEARLAND
State	:	TX
Zip	:	77584-4155
Country	:	US
Telephone Number	:	346-456-1380
Fax Number	:

Provider Business Practice Location Address
First Line	:	5444 WESTHEIMER RD STE 1000
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77056-5318
Country	:	US
Telephone Number	:	346-456-1380
Fax Number	:

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

Provider Enumeration Date	:	08/19/2006
Last Update Date	:	08/24/2021

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