MEDICARE: MS. AALIYAH MALIK LPC

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	94734	TX

General Provider Information

NPI Number	:	1184558710
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. AALIYAH MALIK LPC

Provider Business Mailing Address
First Line	:	8710 GRAND MISSION BLVD STE H
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77407-5413
Country	:	US
Telephone Number	:	832-930-2881
Fax Number	:

Provider Business Practice Location Address
First Line	:	8710 GRAND MISSION BLVD STE H
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77407-5413
Country	:	US
Telephone Number	:	832-930-2881
Fax Number	:

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

Provider Enumeration Date	:	06/09/2026
Last Update Date	:	06/09/2026

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