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KELLY MARCELLE GONZALEZ-MIRANDA LPC NPI 1538478482


NPI Information

NPI: 1538478482
Provider Name: KELLY MARCELLE GONZALEZ-MIRANDA, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
1020 RIVERWOOD COURT BLDG 1
CONROE, TX
ZIP 77304
Phone: (936) 521-6338
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Kelly Marcelle Gonzalez-miranda, LPC is a professional counselor in Conroe, TX. Kelly Marcelle Gonzalez-miranda, LPC NPI is 1538478482. 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:

1020 RIVERWOOD COURT BLDG 1
CONROE, TX
ZIP 77304-206
Phone: (936) 521-6338

The enumeration date for this NPI number is 9/27/2010 and was last updated on 2/20/2016.


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
1101YP2500XCounselorProfessional65259TEXASYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.