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NPI Code Detail

MEDICARE: MS. MICHELLE KING JD, LPC

MEDICARE:  MS. MICHELLE  KING  JD, 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
1101YM0800XMental Health Counselor65313TX
2101YP2500XProfessional Counselor65313TX

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 : 1689983231
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MICHELLE KING JD, LPC
Provider Business Mailing Address
First Line : PO BOX 300051
Second Line :
City : HOUSTON
State : TX
Zip : 77230-0051
Country : US
Telephone Number : 346-201-8971
Fax Number :
Provider Business Practice Location Address
First Line : 2425 SOUTHMORE BLVD
Second Line :
City : HOUSTON
State : TX
Zip : 77004-7418
Country : US
Telephone Number : 346-201-8971
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2010
Last Update Date : 05/04/2017

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Directions to “ MS. MICHELLE KING JD, LPC” Practice Location

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