MEDICARE: SAZA COUNSELING AND SUPERVISION, PLLC

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	106H00000X	Marriage & Family Therapist
2	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1568138386
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAZA COUNSELING AND SUPERVISION, PLLC

Provider Business Mailing Address
First Line	:	6923 BRUSHMEADE LN
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77449-4777
Country	:	US
Telephone Number	:	713-471-4561
Fax Number	:	713-481-8812

Provider Business Practice Location Address
First Line	:	14525 FM 529 RD STE 104
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77095-3596
Country	:	US
Telephone Number	:	713-471-4561
Fax Number	:

Authorized Official
Title or Position	:	OWNER/OPERATOR
Name	:	SHELLEY ZAVODNY ABELES
Credential	:	MS, LMFT-S, LPC-S
Telephone Number	:	713-471-4561

Provider Enumeration Date	:	08/20/2021
Last Update Date	:	08/20/2021

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