Monica Urich Starovic

Individual provider Active NPI Professional Counselor · Waller, TX

NPI 1104530237 · NPPES record last updated Dec 30, 2024

Key facts

NPI
1104530237
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
79150 (TX)
Practice address
33020 Londonderry Dr
Waller, TX 77484-5912
Phone
(936) 615-8644
NPI assigned
Jan 12, 2023
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
79150TXMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 79150 TX
Mental Health Counselor 101YM0800X 79150 TX
Professional Counselor 101YP2500X 79150 TX Yes

Addresses

Primary practice location

33020 Londonderry Dr
Waller, TX 77484-5912

Mailing address

33020 Londonderry Dr
Waller, TX 77484-5912
Phone (936) 615-8644

Other providers in Waller, TX

All providers in Waller, TX · Professional Counselor in Texas

Sources for this page

Verify at the official NPI Registry.