MEDICARE: THAHIRA AHMED 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
1	101YP2500X	Professional Counselor	14034	TX

General Provider Information

NPI Number	:	1730293531
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THAHIRA AHMED LPC

Provider Business Mailing Address
First Line	:	3010 GRAND ELM CIR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77068-2124
Country	:	US
Telephone Number	:	281-773-7396
Fax Number	:	281-351-0558

Provider Business Practice Location Address
First Line	:	14335 TORREY CHASE BLVD STE E
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77014-1634
Country	:	US
Telephone Number	:	281-893-1019
Fax Number	:	281-893-1019

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/18/2006
Last Update Date	:	07/08/2007

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