Healthcare Provider Details

I. General information

NPI: 1891612420
Provider Name (Legal Business Name): ESTHER MUTOMBO LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/03/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10160 HIGHWAY 242 STE 800-155
CONROE TX
77385-4379
US

IV. Provider business mailing address

10160 HIGHWAY 242 STE 800-155
CONROE TX
77385-4379
US

V. Phone/Fax

Practice location:
  • Phone: 346-261-2774
  • Fax:
Mailing address:
  • Phone: 346-261-2774
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number94035
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: