MEDICARE: TONI LENELL PRIVADO

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	101YM0800X	Mental Health Counselor	2274	SC
2	101YM0800X	Mental Health Counselor	LPC-6363	ID
3	101YM0800X	Mental Health Counselor
4	101YM0800X	Mental Health Counselor	068.0137005TELE	VT
5	101YM0800X	Mental Health Counselor	89750	TX
6	101YM0800X	Mental Health Counselor	TPMC7001	FL

General Provider Information

NPI Number	:	1942920723
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TONI LENELL PRIVADO

Provider Business Mailing Address
First Line	:	11645 S HIGHWAY 6
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77498-1302
Country	:	US
Telephone Number	:	281-969-3842
Fax Number	:

Provider Business Practice Location Address
First Line	:	11645 S HIGHWAY 6
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77498-1302
Country	:	US
Telephone Number	:	281-969-3842
Fax Number	:

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

Provider Enumeration Date	:	08/31/2022
Last Update Date	:	05/25/2026

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Directions to “ TONI LENELL PRIVADO ” Practice Location

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