MEDICARE: NORMA TEJADA LPCC, LMFT

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	106H00000X	Marriage & Family Therapist	3252	TX
2	101YP2500X	Professional Counselor	3826	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1831295625
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NORMA TEJADA LPCC, LMFT

Provider Business Mailing Address
First Line	:	10245 KEMPWOOD DR STE E
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77043-1840
Country	:	US
Telephone Number	:	713-647-0002
Fax Number	:	713-647-0885

Provider Business Practice Location Address
First Line	:	5639 HEATHER RUN DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77041
Country	:	US
Telephone Number	:	713-647-0002
Fax Number	:	713-647-0885

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

Provider Enumeration Date	:	09/16/2006
Last Update Date	:	06/10/2022

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