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NPI Code Detail

MEDICARE: TAKE FLIGHT

MEDICARE: TAKE FLIGHT
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
1101YA0400XAddiction (Substance Use Disorder) Counselor
2101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1619457330
Entity Type Code : Organization
Provider Name (Legal Business Name) : TAKE FLIGHT
Provider Business Mailing Address
First Line : PO BOX 58084
Second Line :
City : WEBSTER
State : TX
Zip : 77598-8084
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 16821 BUCCANEER LN STE 119
Second Line :
City : HOUSTON
State : TX
Zip : 77058-2512
Country : US
Telephone Number : 281-630-4825
Fax Number :
Authorized Official
Title or Position : LICENSED PROF COUNSELOR/OWNER
Name : MRS. PATRICE M. HOUSTON
Credential : MA, LPC-S, LCDC
Telephone Number : 281-630-4825
Provider Enumeration Date : 08/21/2018
Last Update Date : 08/21/2018

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Directions to “TAKE FLIGHT ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.