MEDICARE: VADA COUNSELING, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101YM0800X	Mental Health Counselor
2	104100000X	Social Worker
3	106H00000X	Marriage & Family Therapist
4	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1124889332
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VADA COUNSELING, PLLC

Provider Business Mailing Address
First Line	:	2010 NORTH LOOP W STE 240
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77018-8125
Country	:	US
Telephone Number	:	281-626-0505
Fax Number	:

Provider Business Practice Location Address
First Line	:	2010 NORTH LOOP W STE 240
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77018-8125
Country	:	US
Telephone Number	:	281-626-0505
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CANDICE HOLLOWAY
Credential	:	LPC-S
Telephone Number	:	281-626-0505

Provider Enumeration Date	:	01/16/2024
Last Update Date	:	01/16/2024

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Directions to “VADA COUNSELING, PLLC ” Practice Location

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