| Rsmith-counseling, Pllc | |
|
480 N Sam Houston Pkwy E Ste 308 Houston TX 77060-3586 | |
| (281) 858-3974 | |
| (281) 858-2328 |
| Full Name | Rsmith-counseling, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 480 N Sam Houston Pkwy E Ste 308, Houston, Texas |
| Authorized Official Name and Position | Roderick J Smith (OWNER) |
| Authorized Official Contact | 2818583974 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rsmith-counseling, Pllc 9530 Alabaster Oaks Ln Humble TX 77396-1962 Ph: () - | Rsmith-counseling, Pllc 480 N Sam Houston Pkwy E Ste 308 Houston TX 77060-3586 Ph: (281) 858-3974 |
| NPI Number | 1134606981 |
|---|---|
| Provider Enumeration Date | 07/24/2018 |
| Last Update Date | 08/05/2021 |
| Certification Date | 08/05/2021 |
| Medicare PECOS PAC ID | 8123423704 |
|---|---|
| Medicare Enrollment ID | O20210819001851 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134606981 | NPI | - | NPPES |
| 1134606981 | Other | NPI TYPE 2 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| Provider Name | Kelly J Parker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235676834 PECOS PAC ID: 6800163346 Enrollment ID: I20170605000461 |
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