Healthcare Provider Details
I. General information
NPI: 1669190971
Provider Name (Legal Business Name): HEALING2FLOURISH COUNSELING & CONSULTING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/22/2022
Last Update Date: 03/12/2025
Certification Date: 03/12/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8530 FM 1960 RD E STE 214
HUMBLE TX
77346-1831
US
IV. Provider business mailing address
6942 FM 1960 RD E # 197
HUMBLE TX
77346-2706
US
V. Phone/Fax
- Phone: 346-297-0405
- Fax: 281-688-5968
- Phone: 832-233-7439
- 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 | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251B00000X |
| Taxonomy | Case Management Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
EJAMA
D
JOHNSON
Title or Position: OWNER/CLINICAL DIRECTOR
Credential: LPC
Phone: 832-233-7439