Healthcare Provider Details

I. General information

NPI: 1386065233
Provider Name (Legal Business Name): CARLA CAGE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/19/2013
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8917 LOUETTA RD STE 312
SPRING TX
77379-6794
US

IV. Provider business mailing address

433 KITTY HAWK RD STE 211
UNIVERSAL CITY TX
78148-3829
US

V. Phone/Fax

Practice location:
  • Phone: 210-255-7586
  • Fax: 210-598-7586
Mailing address:
  • Phone: 210-255-7586
  • Fax: 210-598-1910

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number68547
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: