MEDICARE: EVERWELL COUNSELING

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	101Y00000X	Counselor
2	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1831800937
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EVERWELL COUNSELING

Provider Business Mailing Address
First Line	:	811 TOWN AND COUNTRY BLVD APT 223
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77024-3990
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	811 TOWN AND COUNTRY BLVD APT 223
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77024-3990
Country	:	US
Telephone Number	:	713-714-6950
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. ELIZABETH WHITE
Credential	:	LPC
Telephone Number	:	713-598-7280

Provider Enumeration Date	:	12/08/2022
Last Update Date	:	01/01/2023

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Directions to “EVERWELL COUNSELING ” Practice Location

Language	Start Address	Practice Location

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