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NPI Code Detail

MEDICARE: MS. ANGELA RAINEY BURCIAGA MS, LPC-S

MEDICARE: MS. ANGELA RAINEY BURCIAGA MS, LPC-S
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
1101YP2500XProfessional Counselor19867TX

General Provider Information

NPI Number : 1417120643
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ANGELA RAINEY BURCIAGA MS, LPC-S
Provider Business Mailing Address
First Line : 2929 FM 2920 RD STE 100
Second Line :
City : SPRING
State : TX
Zip : 77388-3428
Country : US
Telephone Number : 281-210-1500
Fax Number : 713-457-0945
Provider Business Practice Location Address
First Line : 2929 FM 2920 RD
Second Line :
City : SPRING
State : TX
Zip : 77388-3428
Country : US
Telephone Number : 281-210-1500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2008
Last Update Date : 04/04/2022

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