MEDICARE: CINNAMIN RIVERS 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	70783	TX

General Provider Information

NPI Number	:	1194315853
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CINNAMIN RIVERS LPC

Provider Business Mailing Address
First Line	:	11661 SABO RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77089-2535
Country	:	US
Telephone Number	:	214-673-7020
Fax Number	:

Provider Business Practice Location Address
First Line	:	11661 SABO RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77089-2535
Country	:	US
Telephone Number	:	214-673-7020
Fax Number	:

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

Provider Enumeration Date	:	01/26/2021
Last Update Date	:	03/15/2026

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Directions to “ CINNAMIN RIVERS LPC” Practice Location

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