Healthcare Provider Details

I. General information

NPI: 1104759323
Provider Name (Legal Business Name): CUDERI GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2026
Last Update Date: 06/06/2026
Certification Date: 06/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6218 CRAIGWAY RD
SPRING TX
77389-5205
US

IV. Provider business mailing address

5900 BALCONES DR STE 100
AUSTIN TX
78731-4298
US

V. Phone/Fax

Practice location:
  • Phone: 713-715-9076
  • Fax: 713-715-9076
Mailing address:
  • Phone: 713-715-9076
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: JOHN THOMAS
Title or Position: CEO
Credential: MFT, LPC
Phone: 713-715-9076