MEDICARE: MRS. RAMPATTIE YENA MALIK LPC

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	101YS0200X	School Counselor		TX
2	101YM0800X	Mental Health Counselor	75661	TX
3	101YP2500X	Professional Counselor	75661	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	75661	OTHER	TX	PRIVATE PRACTICE

General Provider Information

NPI Number	:	1518422856
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. RAMPATTIE YENA MALIK LPC

Provider Business Mailing Address
First Line	:	17318 TOWER FALLS LN
Second Line	:
City	:	HUMBLE
State	:	TX
Zip	:	77346-3804
Country	:	US
Telephone Number	:	936-777-5625
Fax Number	:

Provider Business Practice Location Address
First Line	:	17318 TOWER FALLS LN
Second Line	:
City	:	HUMBLE
State	:	TX
Zip	:	77346-3804
Country	:	US
Telephone Number	:	936-777-5625
Fax Number	:

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

Provider Enumeration Date	:	01/31/2019
Last Update Date	:	01/09/2026

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