Healthcare Provider Details

I. General information

NPI: 1205664976
Provider Name (Legal Business Name): URGENT CARE COUNSELING CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2024
Last Update Date: 03/17/2025
Certification Date: 03/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5403 CANYON FOREST DR
HOUSTON TX
77088-2710
US

IV. Provider business mailing address

12914 ORCHARD HOLLOW WAY
HOUSTON TX
77065-3332
US

V. Phone/Fax

Practice location:
  • Phone: 713-550-3479
  • Fax:
Mailing address:
  • Phone: 713-550-3479
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code102L00000X
TaxonomyPsychoanalyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: ASHLEIGH BENNETT
Title or Position: FOUNDER/EXECUTIVE DIRECTOR
Credential:
Phone: 713-550-3479