MEDICARE: COUNSEL-CARE

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	251S00000X	Community/Behavioral Health Agency	62206	TX

General Provider Information

NPI Number	:	1497001945
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COUNSEL-CARE

Provider Business Mailing Address
First Line	:	2600 S SHORE BLVD STE 373
Second Line	:
City	:	LEAGUE CITY
State	:	TX
Zip	:	77573-2943
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2600 S SHORE BLVD STE 373
Second Line	:
City	:	LEAGUE CITY
State	:	TX
Zip	:	77573-2943
Country	:	US
Telephone Number	:	281-245-3389
Fax Number	:

Authorized Official
Title or Position	:	LICENSED PROFESSIONAL COUNSELOR
Name	:	DENISE RAU
Credential	:
Telephone Number	:	281-535-1900

Provider Enumeration Date	:	08/01/2012
Last Update Date	:	08/01/2012

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Directions to “COUNSEL-CARE ” Practice Location

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