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NPI Code Detail

MEDICARE: FAITH MICHELLE MARTINEZ

MEDICARE: FAITH MICHELLE MARTINEZ
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 Counselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
178394OTHERTXLPC LICENSE

General Provider Information

NPI Number : 1710467907
Entity Type Code : Individual
Provider Name (Legal Business Name) : FAITH MICHELLE MARTINEZ
Provider Business Mailing Address
First Line : 11777 KATY FWY STE 350
Second Line :
City : HOUSTON
State : TX
Zip : 77079-1721
Country : US
Telephone Number : 713-365-0700
Fax Number : 713-827-1080
Provider Business Practice Location Address
First Line : 11777 KATY FWY STE 350
Second Line :
City : HOUSTON
State : TX
Zip : 77079-1721
Country : US
Telephone Number : 713-365-0700
Fax Number : 713-827-1080
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2018
Last Update Date : 08/16/2018

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Directions to “ FAITH MICHELLE MARTINEZ ” Practice Location

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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.

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