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NPI Code Detail

MEDICARE: ELIZABETH WARREN LPC

MEDICARE:   ELIZABETH  WARREN  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 Counselor75555TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
175555OTHERTXTEXAS STATE BOARD OF PROFESSIONAL COUNSELORS

General Provider Information

NPI Number : 1871257386
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH WARREN LPC
Provider Business Mailing Address
First Line : 12003 TERRAZA COVE LN
Second Line :
City : HOUSTON
State : TX
Zip : 77041-6231
Country : US
Telephone Number : 713-365-9015
Fax Number :
Provider Business Practice Location Address
First Line : 1325 CAMPBELL RD
Second Line :
City : HOUSTON
State : TX
Zip : 77055-6403
Country : US
Telephone Number : 713-365-9015
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/30/2021
Last Update Date : 10/30/2021

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Directions to “ ELIZABETH WARREN LPC” Practice Location

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