Healthcare Provider Details

I. General information

NPI: 1114308327
Provider Name (Legal Business Name): THE COUNSELING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2015
Last Update Date: 06/12/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14555 SKINNER RD STE D1
CYPRESS TX
77429-4159
US

IV. Provider business mailing address

14555 SKINNER RD STE D1
CYPRESS TX
77429-4159
US

V. Phone/Fax

Practice location:
  • Phone: 281-635-3723
  • Fax: 877-690-5884
Mailing address:
  • Phone: 281-635-3723
  • Fax: 877-690-5884

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number59706
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number59706
License Number StateTX

VIII. Authorized Official

Name: CANDIS FIRCHAU
Title or Position: OWNER/COUNSELOR SUPERVISOR
Credential:
Phone: 281-635-3723