Individual ProviderPaula VandykeCounselorBehavioral Health & Social Service ProvidersPractice Address10701 Corporate Dr, Suite 303, Stafford, TX 77477-4096(281) 940-8745PECOS EnrollmentBased on the most recent information from CMS, provider Paula Vandyke does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1033489398Provider TypeIndividualFull NameVandyke, PaulaCredentialMA, LMFT, LPCGenderFemaleSole ProprietorYesEnumeration Date1/4/2012Last Updated1/4/2012Contact InformationPractice LocationPractice Address10701 Corporate Dr, Suite 303, Stafford, TX 77477-4096Phone(281) 940-8745FaxUnlisted FaxMailing LocationMailing Address10701 Corporate Dr, Suite 303, Stafford, TX 77477-4096Phone(281) 940-8745FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YP2500XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense64964TexasCode106H00000XDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicense201285Texas