MEDICARE: TRANSITIONAL LIFE COUNSELING AND COUNSULTATION PLLC

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	251B00000X	Case Management Agency
2	261QA0600X	Adult Day Care Clinic/Center
3	101YM0800X	Mental Health Counselor	59803	TX

General Provider Information

NPI Number	:	1861649295
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRANSITIONAL LIFE COUNSELING AND COUNSULTATION PLLC

Provider Business Mailing Address
First Line	:	2626 S LOOP W STE 650E
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-5628
Country	:	US
Telephone Number	:	409-359-3355
Fax Number	:	713-456-2381

Provider Business Practice Location Address
First Line	:	2626 S LOOP W STE 650E
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-5628
Country	:	US
Telephone Number	:	409-359-3188
Fax Number	:

Authorized Official
Title or Position	:	OWNER/THERAPIST
Name	:	DR. DEMPSEY DERELL SPEARS
Credential	:	M.A. LPC
Telephone Number	:	409-359-3188

Provider Enumeration Date	:	08/27/2008
Last Update Date	:	06/05/2025

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