Healthcare Provider Details

I. General information

NPI: 1285528646
Provider Name (Legal Business Name): MARGARET M YEARWOOD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2025
Last Update Date: 06/09/2025
Certification Date: 06/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10330 LAKE RD STE Z
HOUSTON TX
77070-1886
US

IV. Provider business mailing address

19025 STUEBNER AIRLINE RD UNIT 331
SPRING TX
77379-5598
US

V. Phone/Fax

Practice location:
  • Phone: 346-200-6260
  • Fax:
Mailing address:
  • Phone: 346-367-9893
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number91057
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: