Healthcare Provider Details
I. General information
NPI: 1992615231
Provider Name (Legal Business Name): THE CONATIVE GROUP, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4130 BELLAIRE BLVD STE 208
HOUSTON TX
77025-1056
US
IV. Provider business mailing address
4130 BELLAIRE BLVD STE 208
HOUSTON TX
77025-1056
US
V. Phone/Fax
- Phone: 713-993-7030
- Fax:
- Phone: 713-993-7030
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103T00000X |
| Taxonomy | Psychologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
KIMBERLY
HARRISON
Title or Position: FOUNDER/CLINICAL PSYCHOLOGIST
Credential: PH.D
Phone: 281-728-0937