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NPI Code Detail

MEDICARE: LAURA ZELAYA LMSW

MEDICARE: LAURA ZELAYA LMSW
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
1104100000XSocial Worker106896TX

General Provider Information

NPI Number : 1063287886
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA ZELAYA LMSW
Provider Business Mailing Address
First Line : 1220 AUGUSTA DR STE 290
Second Line :
City : HOUSTON
State : TX
Zip : 77057-2263
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1220 AUGUSTA DR STE 290
Second Line :
City : HOUSTON
State : TX
Zip : 77057-2263
Country : US
Telephone Number : 713-428-8700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/21/2023
Last Update Date : 11/21/2023

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Directions to “ LAURA ZELAYA LMSW” Practice Location

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