MEDICARE: MS. ERICA HENRY M.ED, LPC, NBCC

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
2	101YP2500X	Professional Counselor	70292	TX

General Provider Information

NPI Number	:	1760832067
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ERICA HENRY M.ED, LPC, NBCC

Provider Business Mailing Address
First Line	:	12337 JONES RD STE 241
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77070-3543
Country	:	US
Telephone Number	:	832-779-7657
Fax Number	:

Provider Business Practice Location Address
First Line	:	12337 JONES RD STE 241
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77070-3543
Country	:	US
Telephone Number	:	832-779-7657
Fax Number	:

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

Provider Enumeration Date	:	06/16/2016
Last Update Date	:	03/06/2025

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