MEDICARE: SYLVIA LABRIA GUILLIAM

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	171400000X	Health & Wellness Coach		TX
2	171400000X	Health & Wellness Coach

General Provider Information

NPI Number	:	1811685936
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SYLVIA LABRIA GUILLIAM

Provider Business Mailing Address
First Line	:	12976 WESTHEIMER RD APT 3102
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77077-0006
Country	:	US
Telephone Number	:	346-390-7534
Fax Number	:

Provider Business Practice Location Address
First Line	:	12976 WESTHEIMER RD APT 3102
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77077-0006
Country	:	US
Telephone Number	:	346-390-7534
Fax Number	:

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

Provider Enumeration Date	:	04/26/2023
Last Update Date	:	05/15/2023

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Directions to “ SYLVIA LABRIA GUILLIAM ” Practice Location

Language	Start Address	Practice Location

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