MEDICARE: MS. BRIDGET C MCCAULEY 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	64447	TX

General Provider Information

NPI Number	:	1922302223
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. BRIDGET C MCCAULEY LPC

Provider Business Mailing Address
First Line	:	303 JACKSON HILL ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77007-7407
Country	:	US
Telephone Number	:	281-200-9120
Fax Number	:

Provider Business Practice Location Address
First Line	:	2520 ROBINHOOD ST APT 1208
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77005-2559
Country	:	US
Telephone Number	:	512-468-1892
Fax Number	:

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

Provider Enumeration Date	:	12/29/2010
Last Update Date	:	05/23/2023

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