Healthcare Provider Details

I. General information

NPI: 1356018063
Provider Name (Legal Business Name): MONICA GOLLA LCDC, LPC-A
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2021
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26001 BUDDE RD APT 801
SPRING TX
77380-2000
US

IV. Provider business mailing address

26001 BUDDE RD APT 801
SPRING TX
77380-2000
US

V. Phone/Fax

Practice location:
  • Phone: 713-851-4296
  • Fax:
Mailing address:
  • Phone: 713-851-4296
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number94894
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberLCDC
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: