Healthcare Provider Details
I. General information
NPI: 1265781272
Provider Name (Legal Business Name): ALIEF EDUCATIONAL SERVICES CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/05/2012
Last Update Date: 09/05/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9898 BISSONNET ST 630
HOUSTON TX
77036-8270
US
IV. Provider business mailing address
PO BOX 722252
HOUSTON TX
77272-2252
US
V. Phone/Fax
- Phone: 713-772-9085
- Fax: 281-825-4388
- Phone: 713-772-9085
- Fax: 281-825-4388
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | 66022 |
| License Number State | TX |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | 66022 |
| License Number State | TX |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YS0200X |
| Taxonomy | School Counselor |
| License Number | 939792 |
| License Number State | TX |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101Y00000X |
| Taxonomy | Counselor |
| License Number | 66022 |
| License Number State | TX |
VIII. Authorized Official
Name:
BARBARA
WASHINGTON
Title or Position: FOUNDER/CEO
Credential: LPC, NCC
Phone: 713-772-9085