Healthcare Provider Details

I. General information

NPI: 1174392096
Provider Name (Legal Business Name): NANCIA P KING
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/20/2023
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8917 LOUETTA RD STE 312
SPRING TX
77379-6794
US

IV. Provider business mailing address

8917 LOUETTA RD STE 312
SPRING TX
77379-6794
US

V. Phone/Fax

Practice location:
  • Phone: 713-653-4461
  • Fax:
Mailing address:
  • Phone: 713-653-4461
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number89300
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: