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MS. JEAN ELICK MACH LPC ATR NPI 1821135195


NPI Information

NPI: 1821135195
Provider Name: MS. JEAN ELICK MACH, LPC, ATR
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
3500 W. DAVIS STREET
SUITE 250
CONROE, TX
ZIP 77304
Phone: (832) 401-9701
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MS. Jean Elick Mach, LPC, ATR is a counselor in Conroe, TX. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. MS. Jean Elick Mach, LPC, ATR NPI is 1821135195. 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:

3500 W. DAVIS STREET
SUITE 250
CONROE, TX
ZIP 77304
Phone: (832) 401-9701
Fax: (832) 565-1010

The enumeration date for this NPI number is 1/30/2007 and was last updated on 7/24/2019.


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
1101Y00000XCounselor14157TEXASYes
2221700000XArt Therapist97-040No

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11810749-01MEDICAIDTEXAS

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

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