MEDICARE: EMPATHETIC INSIGHTS COUNSELING AND SUPERVISION, PLLC

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	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1679416614
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMPATHETIC INSIGHTS COUNSELING AND SUPERVISION, PLLC

Provider Business Mailing Address
First Line	:	26882 ROYAL TIMBERS DR
Second Line	:
City	:	KINGWOOD
State	:	TX
Zip	:	77339-6510
Country	:	US
Telephone Number	:	936-414-1226
Fax Number	:

Provider Business Practice Location Address
First Line	:	26882 ROYAL TIMBERS DR
Second Line	:
City	:	KINGWOOD
State	:	TX
Zip	:	77339-6510
Country	:	US
Telephone Number	:	936-228-9936
Fax Number	:

Authorized Official
Title or Position	:	LICENSED CLINICAL SOCIAL WORKER
Name	:	MRS. KATIE JO BICKLEY
Credential	:	LCSW-S
Telephone Number	:	936-228-9936

Provider Enumeration Date	:	04/13/2026
Last Update Date	:	04/13/2026

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