MEDICARE: KONNECTING THE DOTS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	163W00000X	Registered Nurse
2	163WC0400X	Case Management Registered Nurse
3	251B00000X	Case Management Agency
4	251S00000X	Community/Behavioral Health Agency
5	103TP2701X	Group Psychotherapy Psychologist

General Provider Information

NPI Number	:	1588272249
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KONNECTING THE DOTS

Provider Business Mailing Address
First Line	:	12712 W LAKE HOUSTON PKWY
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77044-6467
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	12712 W LAKE HOUSTON PKWY STE B
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77044-6469
Country	:	US
Telephone Number	:	281-312-9423
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	YOLONDA M KNIGHT
Credential	:
Telephone Number	:	281-312-9423

Provider Enumeration Date	:	07/20/2020
Last Update Date	:	02/04/2025

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Directions to “KONNECTING THE DOTS ” Practice Location

Language	Start Address	Practice Location

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