MEDICARE: HARBOR COUNSELING SERVICES

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	101YM0800X	Mental Health Counselor	11389	TX

General Provider Information

NPI Number	:	1750656989
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARBOR COUNSELING SERVICES

Provider Business Mailing Address
First Line	:	15202 COLECREST CT
Second Line	:
City	:	CYPRESS
State	:	TX
Zip	:	77429-4397
Country	:	US
Telephone Number	:	972-567-9554
Fax Number	:	281-257-1108

Provider Business Practice Location Address
First Line	:	10330 LAKE RD STE D
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77070-1696
Country	:	US
Telephone Number	:	972-567-9554
Fax Number	:	281-257-1108

Authorized Official
Title or Position	:	MANAGER
Name	:	FELICE F ABOUD
Credential	:	LPC
Telephone Number	:	972-567-9554

Provider Enumeration Date	:	03/21/2012
Last Update Date	:	03/21/2012

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Directions to “HARBOR COUNSELING SERVICES ” Practice Location

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