MEDICARE: KAY TOWNS LPC

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	101Y00000X	Counselor	75474	TX

General Provider Information

NPI Number	:	1437636495
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAY TOWNS LPC

Provider Business Mailing Address
First Line	:	4225 EMORY AVE
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77005-1922
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	24 GREENWAY PLZ STE 2020
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77046-2445
Country	:	US
Telephone Number	:	713-489-5000
Fax Number	:

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

Provider Enumeration Date	:	07/23/2018
Last Update Date	:	07/23/2018

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Directions to “ KAY TOWNS LPC” Practice Location

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