MEDICARE: RAQUEL PEREIRA LMFT

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	106H00000X	Marriage & Family Therapist	203932	TX

General Provider Information

NPI Number	:	1336927607
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAQUEL PEREIRA LMFT

Provider Business Mailing Address
First Line	:	7667 GREEN BULRUSH WAY
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77493-5092
Country	:	US
Telephone Number	:	346-513-7288
Fax Number	:

Provider Business Practice Location Address
First Line	:	7667 GREEN BULRUSH WAY
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77493-5092
Country	:	US
Telephone Number	:	346-513-7288
Fax Number	:

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

Provider Enumeration Date	:	09/18/2023
Last Update Date	:	09/18/2023

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