MEDICARE: DR. QUINELLA ANNETTE MINIX ED.D., LPC, NCC

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	101YP2500X	Professional Counselor	19582	TX

General Provider Information

NPI Number	:	1558508077
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. QUINELLA ANNETTE MINIX ED.D., LPC, NCC

Provider Business Mailing Address
First Line	:	9303 FOX BEND LN
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-7217
Country	:	US
Telephone Number	:	832-594-6916
Fax Number	:

Provider Business Practice Location Address
First Line	:	2700 LAKE OLYMPIA PKWY
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-4324
Country	:	US
Telephone Number	:	832-594-6916
Fax Number	:

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

Provider Enumeration Date	:	01/21/2009
Last Update Date	:	05/19/2021

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