MEDICARE: ANNIKA ZIEGLER, LCSW

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	251S00000X	Community/Behavioral Health Agency	55194	TX

General Provider Information

NPI Number	:	1902272966
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANNIKA ZIEGLER, LCSW

Provider Business Mailing Address
First Line	:	1131 W DONOVAN ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77091-5512
Country	:	US
Telephone Number	:	832-202-6812
Fax Number	:

Provider Business Practice Location Address
First Line	:	1131 W DONOVAN ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77091-5512
Country	:	US
Telephone Number	:	832-202-6812
Fax Number	:

Authorized Official
Title or Position	:	THERAPIST
Name	:	MRS. ANNIKA BORGGREN ZIEGLER
Credential	:	LCSW
Telephone Number	:	832-202-6812

Provider Enumeration Date	:	08/13/2015
Last Update Date	:	08/13/2015

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