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NPI Code Detail

MEDICARE: MS. LAURI B CUSICK LPC

MEDICARE:  MS. LAURI B CUSICK  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
1101YP2500XProfessional Counselor14441TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1588616759
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LAURI B CUSICK LPC
Provider Business Mailing Address
First Line : 1008 ELM POINTE
Second Line :
City : LEAGUE CITY
State : TX
Zip : 77573-9080
Country : US
Telephone Number : 713-824-0474
Fax Number : 281-557-7596
Provider Business Practice Location Address
First Line : 1008 ELM POINTE
Second Line :
City : LEAGUE CITY
State : TX
Zip : 77573-9080
Country : US
Telephone Number : 713-824-0474
Fax Number : 281-557-7596
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2006
Last Update Date : 05/16/2008

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Directions to “ MS. LAURI B CUSICK LPC” Practice Location

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