MEDICARE: ANGELA R PARKER 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	95370	TX
2	171M00000X	Case Manager/Care Coordinator	95370	TX
3	101YM0800X	Mental Health Counselor	95370	TX

General Provider Information

NPI Number	:	1730921321
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA R PARKER LPC

Provider Business Mailing Address
First Line	:	3104 EDLOE ST STE 301
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77027-6043
Country	:	US
Telephone Number	:	346-298-1879
Fax Number	:

Provider Business Practice Location Address
First Line	:	9950 WESTPARK DR STE 220
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77063-5190
Country	:	US
Telephone Number	:	713-581-4168
Fax Number	:

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

Provider Enumeration Date	:	06/12/2024
Last Update Date	:	01/07/2026

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Directions to “ ANGELA R PARKER LPC” Practice Location

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