MEDICARE: BRITNEY MARIE LARIVE LPC ASSOCIATE

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	97544	TX

General Provider Information

NPI Number	:	1659186336
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITNEY MARIE LARIVE LPC ASSOCIATE

Provider Business Mailing Address
First Line	:	14619 BLACKBRUSH MNR
Second Line	:
City	:	MAGNOLIA
State	:	TX
Zip	:	77354-7108
Country	:	US
Telephone Number	:	912-667-5664
Fax Number	:

Provider Business Practice Location Address
First Line	:	10330 LAKE RD STE Z
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77070-1886
Country	:	US
Telephone Number	:	346-200-6260
Fax Number	:

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

Provider Enumeration Date	:	02/10/2025
Last Update Date	:	02/12/2025

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