MEDICARE: LOREM COUNSELING PLLC

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	101Y00000X	Counselor

General Provider Information

NPI Number	:	1265096648
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOREM COUNSELING PLLC

Provider Business Mailing Address
First Line	:	633 E FERNHURST DR STE 501
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77450-1589
Country	:	US
Telephone Number	:	832-413-2426
Fax Number	:

Provider Business Practice Location Address
First Line	:	633 E FERNHURST DR STE 501
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77450-1589
Country	:	US
Telephone Number	:	281-378-2199
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	KRISTINA REYES
Credential	:
Telephone Number	:	979-574-7934

Provider Enumeration Date	:	05/01/2019
Last Update Date	:	06/15/2020

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Directions to “LOREM COUNSELING PLLC ” Practice Location

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