Healthcare Provider Details

I. General information

NPI: 1013467802
Provider Name (Legal Business Name): PNL COUNSELING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2016
Last Update Date: 10/05/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14410 QUIET SUMMER LN
HOUSTON TX
77044-5460
US

IV. Provider business mailing address

14410 QUIET SUMMER LN
HOUSTON TX
77044-5460
US

V. Phone/Fax

Practice location:
  • Phone: 832-428-7756
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MRS. KELLEE RICHARDS LANDRY
Title or Position: OWNER
Credential: LPC
Phone: 832-428-7756