MEDICARE: MR. ALAN MICHAEL BURNS 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
1	101YP2500X	Professional Counselor	62574	TX

General Provider Information

NPI Number	:	1922233386
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ALAN MICHAEL BURNS LPC

Provider Business Mailing Address
First Line	:	15326 CRESCENT BROOKFIELD DR
Second Line	:
City	:	HUMBLE
State	:	TX
Zip	:	77396-4957
Country	:	US
Telephone Number	:	832-866-3737
Fax Number	:	281-503-7605

Provider Business Practice Location Address
First Line	:	12712 W LAKE HOUSTON PKWY STE B-4062
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77044-6467
Country	:	US
Telephone Number	:	832-866-3737
Fax Number	:	713-970-7246

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/28/2009
Last Update Date	:	01/10/2024

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