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DR. MARY IRENE MCCULLOUGH LSSP LPC-S NCC NPI 1699039933


NPI Information

NPI: 1699039933
Provider Name: DR. MARY IRENE MCCULLOUGH, LSSP, LPC-S, NCC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
11757 KATY FWY STE 1300
HOUSTON, TX
ZIP 77079
Phone: (832) 429-4917
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DR. Mary Irene Mccullough, LSSP, LPC-S, NCC is a professional counselor in Houston, TX. DR. Mary Irene Mccullough, LSSP, LPC-S, NCC NPI is 1699039933. 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:

11757 KATY FWY STE 1300
HOUSTON, TX
ZIP 77079-725
Phone: (832) 429-4917

The enumeration date for this NPI number is 7/2/2012 and was last updated on 7/22/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselor64887TEXASNo
2101YS0200XCounselorSchool64887TEXASNo
3101YM0800XCounselorMental Health64887TEXASNo
4251B00000XCase Management64887TEXASNo
5101YP2500XCounselorProfessional64887TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1300235402MEDICAIDTEXAS

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: 11/14/2023

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.