Doctor Name: | PRIYANKA VARGHESE |
NPI Number: | 1164806923 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 71703 |
Business Practice Address: | 7274 Waters Edge Dr The Colony, TX - 750563492 |
Business Phone Number: | 7132524821 |
Business Fax Number: | 8449573825 |
Mailing Address: | 7274 Waters Edge Dr, THE COLONY |
State: | TX |
Postal Code: | 750563492 |
Phone Number: | 7132524821 |
Fax Number: | 8449573825 |
NPI Enumeration Date: | 07/11/2015 |
NPI Last Update Date: | 12/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 71703 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |