Healthcare Provider Details

I. General information

NPI: 1780200618
Provider Name (Legal Business Name): CALDWELL COUNSELING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2020
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11999 KATY FWY STE 530
HOUSTON TX
77079-1623
US

IV. Provider business mailing address

121 CROSS MASON DR
KATY TX
77493-3793
US

V. Phone/Fax

Practice location:
  • Phone: 832-443-2983
  • Fax:
Mailing address:
  • Phone: 832-326-6276
  • 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: DAN NORMAN CALDWELL JR.
Title or Position: OWNER/PSYCHOTHERAPIST
Credential: LPC, LMHC,LCPC, LCDC
Phone: 832-326-6276