MEDICARE: L.O.C. COUNSELING AND THERAPY 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	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1891620431
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	L.O.C. COUNSELING AND THERAPY PLLC

Provider Business Mailing Address
First Line	:	23400 KINGSLAND BLVD APT 9208
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77494-7484
Country	:	US
Telephone Number	:	562-275-2419
Fax Number	:

Provider Business Practice Location Address
First Line	:	23400 KINGSLAND BLVD APT 9208
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77494-7484
Country	:	US
Telephone Number	:	562-275-2419
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	TINITA ESTELLE SAMUELS
Credential	:	LCSW
Telephone Number	:	562-584-3284

Provider Enumeration Date	:	06/15/2026
Last Update Date	:	06/15/2026

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