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NPI Code Detail

MEDICARE: POSITIVE SUPPORT

MEDICARE: POSITIVE SUPPORT
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
1101YS0200XSchool Counselor17697TX

General Provider Information

NPI Number : 1568861169
Entity Type Code : Organization
Provider Name (Legal Business Name) : POSITIVE SUPPORT
Provider Business Mailing Address
First Line : 10206 ELLA LEE LN
Second Line :
City : HOUSTON
State : TX
Zip : 77042-2940
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10700 RICHMOND AVE
Second Line : STE 147
City : HOUSTON
State : TX
Zip : 77042-4925
Country : US
Telephone Number : 281-658-6925
Fax Number :
Authorized Official
Title or Position : OWNER
Name : JILL ROBIN PAYNE
Credential : LPC
Telephone Number : 281-658-6925
Provider Enumeration Date : 08/19/2014
Last Update Date : 08/19/2014

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Directions to “POSITIVE SUPPORT ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.