MEDICARE: SAVING A GENERATION PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101YM0800X	Mental Health Counselor
2	251S00000X	Community/Behavioral Health Agency
3	261Q00000X	Clinic/Center
4	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1639835689
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAVING A GENERATION PLLC

Provider Business Mailing Address
First Line	:	743 NORWALK DR
Second Line	:
City	:	ROSHARON
State	:	TX
Zip	:	77583-1970
Country	:	US
Telephone Number	:	346-429-7886
Fax Number	:

Provider Business Practice Location Address
First Line	:	12280 BROADWAY ST STE 1103
Second Line	:
City	:	PEARLAND
State	:	TX
Zip	:	77584-7868
Country	:	US
Telephone Number	:	346-429-7886
Fax Number	:

Authorized Official
Title or Position	:	THERAPIST
Name	:	SHAUNNIKA GREEN
Credential	:	LPC
Telephone Number	:	346-429-7886

Provider Enumeration Date	:	11/15/2021
Last Update Date	:	11/15/2021

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