MEDICARE: POWER OF CHOICE PLLC

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

General Provider Information

NPI Number	:	1033976576
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	POWER OF CHOICE PLLC

Provider Business Mailing Address
First Line	:	11601 SHADOW CREEK PKWY STE 111-549
Second Line	:
City	:	PEARLAND
State	:	TX
Zip	:	77584-7283
Country	:	US
Telephone Number	:	713-489-4248
Fax Number	:	877-832-6448

Provider Business Practice Location Address
First Line	:	11601 SHADOW CREEK PKWY STE 111-549
Second Line	:
City	:	PEARLAND
State	:	TX
Zip	:	77584-7283
Country	:	US
Telephone Number	:	713-489-4248
Fax Number	:	877-832-6448

Authorized Official
Title or Position	:	OWNER
Name	:	MS. TYESHA JONES
Credential	:	LCSW-S
Telephone Number	:	713-489-4248

Provider Enumeration Date	:	03/01/2024
Last Update Date	:	01/20/2026

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