| Innovative Counseling Options Of Houston Pllc | |
|
5900 Memorial Dr Ste 218 Houston TX 77007-8008 | |
| (281) 946-9567 | |
| (281) 496-2108 |
| Full Name | Innovative Counseling Options Of Houston Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 5900 Memorial Dr Ste 218, Houston, Texas |
| Authorized Official Name and Position | Jeanie Low (DIRECTOR) |
| Authorized Official Contact | 28194695670 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Counseling Options Of Houston Pllc 5900 Memorial Dr Ste 218 Houston TX 77007-8008 Ph: (281) 946-9567 | Innovative Counseling Options Of Houston Pllc 5900 Memorial Dr Ste 218 Houston TX 77007-8008 Ph: (281) 946-9567 |
| NPI Number | 1619353471 |
|---|---|
| Provider Enumeration Date | 08/04/2015 |
| Last Update Date | 03/11/2017 |
| Medicare PECOS PAC ID | 3274841424 |
|---|---|
| Medicare Enrollment ID | O20151007002807 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619353471 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 52298 (Texas) | Primary |
| Provider Name | Jeanie Ss Low |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417198623 PECOS PAC ID: 5193981470 Enrollment ID: I20120801000336 |
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