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NPI Code Detail

MEDICARE: MAR'COLA SOCIAL SERVICE AGENCY LLC

MEDICARE: MAR'COLA SOCIAL SERVICE AGENCY LLC
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
1163W00000XRegistered Nurse
21041C0700XClinical Social Worker
3251E00000XHome Health Agency
4251B00000XCase Management Agency
5163WP0807XChild & Adolescent Psychiatric/Mental Health Registered Nurse
6251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1366322463
Entity Type Code : Organization
Provider Name (Legal Business Name) : MAR'COLA SOCIAL SERVICE AGENCY LLC
Provider Business Mailing Address
First Line : 3050 POST OAK BLVD STE 510
Second Line :
City : HOUSTON
State : TX
Zip : 77056-6512
Country : US
Telephone Number : 832-329-2965
Fax Number : 281-819-1429
Provider Business Practice Location Address
First Line : 3050 POST OAK BLVD STE 510
Second Line :
City : HOUSTON
State : TX
Zip : 77056-6512
Country : US
Telephone Number : 832-329-2965
Fax Number : 281-819-1429
Authorized Official
Title or Position : SOCIAL WORKER
Name : PICCOLA DEANN ROBINSON
Credential : LMSW
Telephone Number : 832-329-2965
Provider Enumeration Date : 09/08/2025
Last Update Date : 05/18/2026

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Directions to “MAR'COLA SOCIAL SERVICE AGENCY LLC ” Practice Location

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