MEDICARE: THUY THANH NGUYEN L.P.C., L.M.F.T.

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	004947	TX
2	101YP2500X	Professional Counselor	16395	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588673172
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THUY THANH NGUYEN L.P.C., L.M.F.T.

Provider Business Mailing Address
First Line	:	7100 REGENCY SQUARE BLVD
Second Line	:	SUITE #136
City	:	HOUSTON
State	:	TX
Zip	:	77036-3202
Country	:	US
Telephone Number	:	713-780-2833
Fax Number	:	713-780-2838

Provider Business Practice Location Address
First Line	:	7100 REGENCY SQUARE BLVD
Second Line	:	SUITE #136
City	:	HOUSTON
State	:	TX
Zip	:	77036-3202
Country	:	US
Telephone Number	:	713-780-2833
Fax Number	:	713-780-2838

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

Provider Enumeration Date	:	08/05/2006
Last Update Date	:	08/12/2009

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