MEDICARE: MS. EUGENIA RICHARDSON NASH LCSW, LPC, LMFT

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	1041C0700X	Clinical Social Worker	08445	TX

General Provider Information

NPI Number	:	1013989631
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. EUGENIA RICHARDSON NASH LCSW, LPC, LMFT

Provider Business Mailing Address
First Line	:	4550 POST OAK PLACE DR
Second Line	:	SUITE 352
City	:	HOUSTON
State	:	TX
Zip	:	77027-3165
Country	:	US
Telephone Number	:	713-857-4147
Fax Number	:	713-840-0188

Provider Business Practice Location Address
First Line	:	4550 POST OAK PLACE DR
Second Line	:	SUITE 352
City	:	HOUSTON
State	:	TX
Zip	:	77027-3165
Country	:	US
Telephone Number	:	713-857-4147
Fax Number	:	713-840-0188

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

Provider Enumeration Date	:	02/07/2006
Last Update Date	:	07/08/2007

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