MEDICARE: MICHELLE BRUMLEY COUNSELING, 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	101YP2500X	Professional Counselor	62481	TX

General Provider Information

NPI Number	:	1063880672
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MICHELLE BRUMLEY COUNSELING, PLLC

Provider Business Mailing Address
First Line	:	9907 HAWKINS LN
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-6641
Country	:	US
Telephone Number	:	832-532-9171
Fax Number	:

Provider Business Practice Location Address
First Line	:	14905 SOUTHWEST FWY STE 220
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77478-5022
Country	:	US
Telephone Number	:	832-532-9171
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MICHELLE BRUMLEY
Credential	:	MED, LPC
Telephone Number	:	832-532-9171

Provider Enumeration Date	:	09/14/2015
Last Update Date	:	09/14/2015

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