MEDICARE: MRS. LAURIE MCCORMICK ABLES LPC, NCC

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	14391	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1023203254	OTHER	TX	ORGANIZATION NPI

General Provider Information

NPI Number	:	1811908635
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LAURIE MCCORMICK ABLES LPC, NCC

Provider Business Mailing Address
First Line	:	25325 BOROUGH PARK DR
Second Line	:	STE 220
City	:	THE WOODLANDS
State	:	TX
Zip	:	77380-3569
Country	:	US
Telephone Number	:	281-750-6078
Fax Number	:	281-252-3507

Provider Business Practice Location Address
First Line	:	25325 BOROUGH PARK DR STE 220
Second Line	:
City	:	THE WOODLANDS
State	:	TX
Zip	:	77380-3564
Country	:	US
Telephone Number	:	281-750-6078
Fax Number	:	281-252-3507

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

Provider Enumeration Date	:	08/10/2006
Last Update Date	:	03/18/2008

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