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NPI Code Detail

MEDICARE: TABITHA HENDRICKS

MEDICARE: TABITHA HENDRICKS
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
1101YP2500XProfessional Counselor90530TX

General Provider Information

NPI Number : 1699489948
Entity Type Code : Individual
Provider Name (Legal Business Name) : TABITHA HENDRICKS
Provider Business Mailing Address
First Line : 22001 SOUTHWEST FWY STE 125
Second Line :
City : RICHMOND
State : TX
Zip : 77469-7118
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 22001 SOUTHWEST FWY STE 125
Second Line :
City : RICHMOND
State : TX
Zip : 77469-7118
Country : US
Telephone Number : 844-824-8775
Fax Number : 281-648-2200
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2023
Last Update Date : 09/18/2025

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Directions to “ TABITHA HENDRICKS ” Practice Location

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