MEDICARE: MIONE TRUSS-SKEETE MS, LMFT, QMHP-CS

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	203083	TX

General Provider Information

NPI Number	:	1417595489
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MIONE TRUSS-SKEETE MS, LMFT, QMHP-CS

Provider Business Mailing Address
First Line	:	5400 MARTIN LUTHER KING BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77021-3010
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5400 MARTIN LUTHER KING BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77021-3010
Country	:	US
Telephone Number	:	210-445-9952
Fax Number	:

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

Provider Enumeration Date	:	12/20/2019
Last Update Date	:	11/04/2023

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