| Live Oak Therapy Group Pllc | |
|
26311 Westheimer Pkwy Katy TX 77494-5368 | |
| (832) 368-5983 | |
| Not Available |
| Full Name | Live Oak Therapy Group Pllc |
|---|---|
| Speciality | Counselor |
| Location | 26311 Westheimer Pkwy, Katy, Texas |
| Authorized Official Name and Position | Judy Lee Bou Kheir (OWNER) |
| Authorized Official Contact | 8323685983 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Live Oak Therapy Group Pllc 26311 Westheimer Pkwy Katy TX 77494-5368 Ph: (832) 368-5983 | Live Oak Therapy Group Pllc 26311 Westheimer Pkwy Katy TX 77494-5368 Ph: (832) 368-5983 |
| NPI Number | 1154997450 |
|---|---|
| Provider Enumeration Date | 05/28/2021 |
| Last Update Date | 06/09/2021 |
| Certification Date | 06/09/2021 |
| Medicare PECOS PAC ID | 0941643563 |
|---|---|
| Medicare Enrollment ID | O20240209002796 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154997450 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Provider Name | Judy Lee Boukheir |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184284325 PECOS PAC ID: 1850734476 Enrollment ID: I20240209002926 |
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