MEDICARE: MISS BELINDA KAY SKLOSS LPC

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	101YP2500X	Professional Counselor	09123	TX

General Provider Information

NPI Number	:	1629133376
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS BELINDA KAY SKLOSS LPC

Provider Business Mailing Address
First Line	:	131 PECAN DR
Second Line	:
City	:	LEAGUE CITY
State	:	TX
Zip	:	77573-3659
Country	:	US
Telephone Number	:	281-338-0554
Fax Number	:	281-554-4887

Provider Business Practice Location Address
First Line	:	131 PECAN DR
Second Line	:
City	:	LEAGUE CITY
State	:	TX
Zip	:	77573-3659
Country	:	US
Telephone Number	:	281-338-0554
Fax Number	:	281-554-4887

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

Provider Enumeration Date	:	12/23/2006
Last Update Date	:	07/08/2007

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