MEDICARE: CARRIE TROWBRIDGE

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	075979	IA
2	101YP2500X	Professional Counselor
3	101YP2500X	Professional Counselor	95179	TX
4	101Y00000X	Counselor

General Provider Information

NPI Number	:	1770654303
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARRIE TROWBRIDGE

Provider Business Mailing Address
First Line	:	1906 WHITNEY ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77006-1432
Country	:	US
Telephone Number	:	319-483-8595
Fax Number	:

Provider Business Practice Location Address
First Line	:	2808 CAROLINE ST STE 201
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77004-2760
Country	:	US
Telephone Number	:	319-483-8595
Fax Number	:

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

Provider Enumeration Date	:	11/13/2006
Last Update Date	:	07/05/2024

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Directions to “ CARRIE TROWBRIDGE ” Practice Location

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