MEDICARE: BLANCHE HANDUNGE KHAN PHD LPC LCDC

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	101YA0400X	Addiction (Substance Use Disorder) Counselor	178	TX
2	101YP2500X	Professional Counselor	13025	TX
3	103T00000X	Psychologist	CERTIFICATION	TX
4	103TA0400X	Addiction (Substance Use Disorder) Psychologist	5660	TX
5	101YP1600X	Pastoral Counselor
6	103TF0200X	Forensic Psychologist
7	103TP2701X	Group Psychotherapy Psychologist
8	103T00000X	Psychologist
9	101YM0800X	Mental Health Counselor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	10008730	OTHER		AMERIGROUP

General Provider Information

NPI Number	:	1174619357
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BLANCHE HANDUNGE KHAN PHD LPC LCDC

Provider Business Mailing Address
First Line	:	10036 RIDGECORAL DRIVE
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77038
Country	:	US
Telephone Number	:	713-520-5492
Fax Number	:	713-365-0133

Provider Business Practice Location Address
First Line	:	B KHAN
Second Line	:	2990 RICHMOND AVE SUITE 207
City	:	HOUSTON
State	:	TX
Zip	:	77098
Country	:	US
Telephone Number	:	713-520-5492
Fax Number	:	713-365-0133

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/05/2006
Last Update Date	:	09/11/2025

Similar Medicare Providers

1154640845 — IREON ROSHEL LEBEAUF PH.D., MD
Practice Location Address:

3355 W ALABAMA ST STE 1100
HOUSTON, TX
77098-1868

Practice Phone: 346-537-1292
Practice Fax:

1811839863 — JENNIFER NICOLE THOMAS
Practice Location Address:

3131 EASTSIDE ST STE 415
HOUSTON, TX
77098-1919

Practice Phone: 281-948-3322
Practice Fax:

1003118605 — MRS. CATRIONA CULLUM PH.D., BCBA
Practice Location Address:

3730 KIRBY DRIVE , SUITE 540
HOUSTON, TX
77098

Practice Phone: 832-868-8927
Practice Fax: 713-353-0253

1477233385 — JALYN HANCOCK CCC-SLP
Practice Location Address:

2990 RICHMOND AVE STE 180
HOUSTON, TX
77098-3116

Practice Phone: 281-829-0103
Practice Fax:

1588655435 — GORDON E. CROFOOT M.D., P.A.
Practice Location Address:

3701 KIRBY DR , SUITE 1230
HOUSTON, TX
77098-3900

Practice Phone: 713-526-0005
Practice Fax: 713-524-1602

1194667964 — LILY BAO-NGHI DO
Practice Location Address:

2506 W MAIN ST
HOUSTON, TX
77098-3223

Practice Phone: 713-353-0254
Practice Fax:

1699618389 — JENNY HUANG
Practice Location Address:

2506 W MAIN ST
HOUSTON, TX
77098-3223

Practice Phone: 713-353-0254
Practice Fax:

Directions to “ BLANCHE HANDUNGE KHAN PHD LPC LCDC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.