MEDICARE: SIMONE WARNER LMSW

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

General Provider Information

NPI Number	:	1639790124
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SIMONE WARNER LMSW

Provider Business Mailing Address
First Line	:	9550 MEYER FOREST DR APT 336
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77096-4359
Country	:	US
Telephone Number	:	832-526-5487
Fax Number	:

Provider Business Practice Location Address
First Line	:	15923 CUTTEN RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77070-2069
Country	:	US
Telephone Number	:	301-746-2621
Fax Number	:

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

Provider Enumeration Date	:	05/06/2020
Last Update Date	:	10/10/2023

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Directions to “ SIMONE WARNER LMSW” Practice Location

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