| |
25807 Westheimer Pkwy Ste 480 Katy TX 77494-5333 | |
(281) 803-8431 | |
(832) 218-2673 |
Full Name | |
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Speciality | Counselor |
Location | 25807 Westheimer Pkwy Ste 480, Katy, Texas |
Authorized Official Name and Position | Leonie Millen (LICENSED PROFESSIONAL COUNSELOR) |
Authorized Official Contact | 2818038431 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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25807 Westheimer Pkwy Ste 480 Katy TX 77494-5333 Ph: (281) 803-8431 | 25807 Westheimer Pkwy Ste 480 Katy TX 77494-5333 Ph: (281) 803-8431 |
NPI Number | 1790565018 |
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Provider Enumeration Date | 10/03/2023 |
Last Update Date | 10/09/2023 |
Certification Date | 10/09/2023 |
Medicare PECOS PAC ID | 8022457001 |
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Medicare Enrollment ID | O20240424000491 |
Identifier | Type | State | Issuer |
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1790565018 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Leonie Millen |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1386232932 PECOS PAC ID: 9931548914 Enrollment ID: I20240424001489 |
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