MEDICARE: INFINITE PSYCHOLOGY

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1083413694
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INFINITE PSYCHOLOGY

Provider Business Mailing Address
First Line	:	14918 EL GRANDE DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77083-3223
Country	:	US
Telephone Number	:	713-825-8777
Fax Number	:

Provider Business Practice Location Address
First Line	:	14918 EL GRANDE DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77083-3223
Country	:	US
Telephone Number	:	713-825-8777
Fax Number	:

Authorized Official
Title or Position	:	CEO/OWNER
Name	:	LYNDA MARTIN LECLAIR
Credential	:	LPC
Telephone Number	:	713-825-8777

Provider Enumeration Date	:	03/08/2025
Last Update Date	:	03/08/2025

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