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NPI Code Detail

MEDICARE: NANCY TIPTON LPC

MEDICARE:   NANCY  TIPTON  LPC
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
1101YP2500XProfessional Counselor14777TX
2101YM0800XMental Health Counselor14777TX

General Provider Information

NPI Number : 1841461795
Entity Type Code : Individual
Provider Name (Legal Business Name) : NANCY TIPTON LPC
Provider Business Mailing Address
First Line : 4131 S BRAESWOOD BLVD
Second Line :
City : HOUSTON
State : TX
Zip : 77025-3306
Country : US
Telephone Number : 713-667-9336
Fax Number : 713-667-3619
Provider Business Practice Location Address
First Line : 4131 S BRAESWOOD BLVD
Second Line :
City : HOUSTON
State : TX
Zip : 77025-3306
Country : US
Telephone Number : 713-667-9336
Fax Number : 713-667-3619
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2008
Last Update Date : 08/19/2021

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Directions to “ NANCY TIPTON LPC” Practice Location

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