MEDICARE: SADA OKOLO-MILES LPC-S

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	68363	TX
2	101YM0800X	Mental Health Counselor	68363	TX

General Provider Information

NPI Number	:	1245673656
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SADA OKOLO-MILES LPC-S

Provider Business Mailing Address
First Line	:	5210 GREYLOG DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77048-1729
Country	:	US
Telephone Number	:	713-256-7858
Fax Number	:	713-225-5787

Provider Business Practice Location Address
First Line	:	7802 LIVINGSTON ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77051-1532
Country	:	US
Telephone Number	:	713-734-8800
Fax Number	:	713-734-8775

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

Provider Enumeration Date	:	04/16/2013
Last Update Date	:	12/20/2023

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Directions to “ SADA OKOLO-MILES LPC-S” Practice Location

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