MEDICARE: DORI BADILLO LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101Y00000X	Counselor
2	101YM0800X	Mental Health Counselor
3	101YP2500X	Professional Counselor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1346251162
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DORI BADILLO LPC

Provider Business Mailing Address
First Line	:	2150 W 18TH ST
Second Line	:	SUITE 300- A
City	:	HOUSTON
State	:	TX
Zip	:	77008-5200
Country	:	US
Telephone Number	:	281-831-8644
Fax Number	:	713-526-9882

Provider Business Practice Location Address
First Line	:	2150 W 18TH ST
Second Line	:	SUITE 300- A
City	:	HOUSTON
State	:	TX
Zip	:	77008-5200
Country	:	US
Telephone Number	:	281-831-8644
Fax Number	:	713-526-9882

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

Provider Enumeration Date	:	08/10/2006
Last Update Date	:	02/21/2020

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Directions to “ DORI BADILLO LPC” Practice Location

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