MEDICARE: KATRINA CIESIELCZYK 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	101YM0800X	Mental Health Counselor	84113	TX

General Provider Information

NPI Number	:	1326595844
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATRINA CIESIELCZYK LPC

Provider Business Mailing Address
First Line	:	15227 POPLAR SPRINGS LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77062-3600
Country	:	US
Telephone Number	:	240-561-5102
Fax Number	:

Provider Business Practice Location Address
First Line	:	15227 POPLAR SPRINGS LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77062-3600
Country	:	US
Telephone Number	:	240-561-5102
Fax Number	:

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

Provider Enumeration Date	:	09/01/2016
Last Update Date	:	12/08/2025

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