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NPI Code Detail

MEDICARE: KATY COUNSELING PC

MEDICARE: KATY COUNSELING PC
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
1104100000XSocial Worker
21041C0700XClinical Social Worker
3101Y00000XCounselor

General Provider Information

NPI Number : 1457066359
Entity Type Code : Organization
Provider Name (Legal Business Name) : KATY COUNSELING PC
Provider Business Mailing Address
First Line : 6011 NASH CREEK CT
Second Line :
City : KATY
State : TX
Zip : 77494-2237
Country : US
Telephone Number : 832-928-6376
Fax Number :
Provider Business Practice Location Address
First Line : 633 E FERNHURST DR STE 1102
Second Line :
City : KATY
State : TX
Zip : 77450-1592
Country : US
Telephone Number : 832-406-4304
Fax Number :
Authorized Official
Title or Position : OWNER
Name : KELLY E PEYTON
Credential : LPC
Telephone Number : 832-928-6376
Provider Enumeration Date : 01/16/2023
Last Update Date : 09/15/2025

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