Healthcare Provider Details

I. General information

NPI: 1548191877
Provider Name (Legal Business Name): HEALING THREAD COUNSELING CENTER PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2919 PALOMINOS WAY
CONROE TX
77301
US

IV. Provider business mailing address

1111 FM 1485 RD UNIT 4117
CONROE TX
77301-6825
US

V. Phone/Fax

Practice location:
  • Phone: 936-499-9476
  • Fax:
Mailing address:
  • Phone: 936-499-9476
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: CYNTHIA IVETTE GONZALEZ
Title or Position: LICENSED PROFESSIONAL COUNSELOR
Credential: LPC
Phone: 936-499-9476