MEDICARE: FAYLA A LITTLE LPC-A, CTRS

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	225800000X	Recreation Therapist	70451
2	101YM0800X	Mental Health Counselor	99872	TX

General Provider Information

NPI Number	:	1518826460
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FAYLA A LITTLE LPC-A, CTRS

Provider Business Mailing Address
First Line	:	16618 PADEMELON DR
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77498-7624
Country	:	US
Telephone Number	:	832-384-4427
Fax Number	:

Provider Business Practice Location Address
First Line	:	16618 PADEMELON DR
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77498-7624
Country	:	US
Telephone Number	:	832-384-4427
Fax Number	:

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

Provider Enumeration Date	:	01/16/2026
Last Update Date	:	01/16/2026

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