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NPI Code Detail

MEDICARE: MRS. DIANE LOE BAILEY LPC

MEDICARE: MRS. DIANE LOE BAILEY 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
1101YM0800XMental Health Counselor14676TX
2101YP2500XProfessional Counselor14676TX

General Provider Information

NPI Number : 1912217746
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DIANE LOE BAILEY LPC
Provider Business Mailing Address
First Line : 308 S FRIENDSWOOD DR STE 200
Second Line :
City : FRIENDSWOOD
State : TX
Zip : 77546-3989
Country : US
Telephone Number : 844-824-8775
Fax Number :
Provider Business Practice Location Address
First Line : 8588 KATY FWY STE 350
Second Line :
City : HOUSTON
State : TX
Zip : 77024-1853
Country : US
Telephone Number : 844-824-8775
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2010
Last Update Date : 07/08/2024

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