Healthcare Provider Details

I. General information

NPI: 1922395011
Provider Name (Legal Business Name): CENTER FOR HEALTHY SEXUALITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2011
Last Update Date: 07/08/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 AUGUSTA DR SUITE #120
HOUSTON TX
77057-4922
US

IV. Provider business mailing address

2400 AUGUSTA DR SUITE #120
HOUSTON TX
77057-4922
US

V. Phone/Fax

Practice location:
  • Phone: 713-785-7111
  • Fax: 713-785-2657
Mailing address:
  • Phone: 713-785-7111
  • Fax: 713-785-2657

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number55159
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number3473005014
License Number StateTX

VIII. Authorized Official

Name: DR. BARBARA S LEVINSON
Title or Position: OWNER AND DIRECTOR
Credential: PH.D, RN, LMFT
Phone: 713-785-7111