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NPI Code Detail

MEDICARE: MILAGRO NOHEMY MARRERO LPC-A

MEDICARE: MILAGRO NOHEMY MARRERO LPC-A
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
1171M00000XCase Manager/Care Coordinator99307TX

General Provider Information

NPI Number : 1679454052
Entity Type Code : Individual
Provider Name (Legal Business Name) : MILAGRO NOHEMY MARRERO LPC-A
Provider Business Mailing Address
First Line : 4319 BUGLE RD
Second Line :
City : HOUSTON
State : TX
Zip : 77072-1823
Country : US
Telephone Number : 346-303-4743
Fax Number :
Provider Business Practice Location Address
First Line : 4319 BUGLE RD
Second Line :
City : HOUSTON
State : TX
Zip : 77072-1823
Country : US
Telephone Number : 346-303-4743
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/10/2025
Last Update Date : 04/06/2026

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Directions to “ MILAGRO NOHEMY MARRERO LPC-A” Practice Location

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