GEORGETTA MARIE MEDLOCK LPC NCC NPI 1417111535

NPI Information

NPI: 1417111535
Provider Name: GEORGETTA MARIE MEDLOCK, LPC, NCC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
5619 MAVERICK BEND LN
MISSOURI CITY, TX
ZIP 77459
Phone: (713) 876-2267
Get Directions

Georgetta Marie Medlock, LPC, NCC is a professional counselor in Missouri City, TX. Georgetta Marie Medlock, LPC, NCC NPI is 1417111535. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5619 MAVERICK BEND LN
MISSOURI CITY, TX
ZIP 77459-096
Phone: (713) 876-2267

The enumeration date for this NPI number is 7/17/2008 and was last updated on 1/8/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	61268	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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