MEDICARE: CAROL S MIERS MARRIAGE AND FAMILY THERAPY 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	106H00000X	Marriage & Family Therapist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1033141601	OTHER		NPI

General Provider Information

NPI Number	:	1376053793
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAROL S MIERS MARRIAGE AND FAMILY THERAPY PLLC

Provider Business Mailing Address
First Line	:	508 FOREST VILLAGE CIR
Second Line	:
City	:	LA MARQUE
State	:	TX
Zip	:	77568-1504
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1110 NASA PKWY STE 545T
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77058-3358
Country	:	US
Telephone Number	:	504-722-7046
Fax Number	:

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL
Name	:	SHAWNA APPLE
Credential	:
Telephone Number	:	480-225-8588

Provider Enumeration Date	:	10/11/2017
Last Update Date	:	09/19/2025

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