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NPI Code Detail

MEDICARE: ADRIANA MICHELLE VILLARREAL MA, LPC, SP

MEDICARE: ADRIANA MICHELLE VILLARREAL MA, LPC, SP
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
1103TC1900XCounseling Psychologist93250TX
2101YP2500XProfessional Counselor93250TX

General Provider Information

NPI Number : 1609637727
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADRIANA MICHELLE VILLARREAL MA, LPC, SP
Provider Business Mailing Address
First Line : 15511 WOODFOREST BLVD
Second Line :
City : CHANNELVIEW
State : TX
Zip : 77530-3454
Country : US
Telephone Number : 832-210-6154
Fax Number :
Provider Business Practice Location Address
First Line : 104 W CLAYTON ST
Second Line :
City : DAYTON
State : TX
Zip : 77535-2241
Country : US
Telephone Number : 936-262-7800
Fax Number : 281-899-5295
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2024
Last Update Date : 06/23/2025

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