Michael Keith Henson, | |
33300 Egypt Ln Ste B900, Magnolia, TX 77354-2883 | |
(832) 207-6064 | |
Not Available |
Full Name | Michael Keith Henson |
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Gender | Male |
Speciality | Marriage & Family Therapist |
Location | 33300 Egypt Ln Ste B900, Magnolia, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720750920 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | 3258 (Texas) | Secondary |
101YP2500X | Counselor - Professional | 3258 (Texas) | Secondary |
106H00000X | Marriage & Family Therapist | 3258 (Texas) | Primary |
Entity Name | Transformation Psychotherapy Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669151296 PECOS PAC ID: 0648620856 Enrollment ID: O20240102000290 |
Mailing Address | Practice Location Address |
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Michael Keith Henson, 33300 Egypt Ln Ste B900, Magnolia, TX 77354-2883 Ph: (832) 207-6064 | Michael Keith Henson, 33300 Egypt Ln Ste B900, Magnolia, TX 77354-2883 Ph: (832) 207-6064 |
Miss Laurel K Fauster, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 28802 Pine Forest Dr, Magnolia, TX 77355 Phone: 832-232-1557 | |
Brittney Brooks, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 9752 Grosbeak Ln, Magnolia, TX 77354 Phone: 832-353-8788 | |
Teresa Davidson, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 33029 Wright Rd, Magnolia, TX 77355 Phone: 281-297-8020 |