Healthcare Provider Details

I. General information

NPI: 1275193443
Provider Name (Legal Business Name): STEPS TO SERENITY COUNSELING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2019
Last Update Date: 06/19/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

77 SUGAR CREEK CENTER BLVD STE 600
SUGAR LAND TX
77478-3688
US

IV. Provider business mailing address

77 SUGAR CREEK CENTER BLVD STE 600
SUGAR LAND TX
77478-3688
US

V. Phone/Fax

Practice location:
  • Phone: 832-384-4357
  • Fax:
Mailing address:
  • Phone: 832-384-4357
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. AVIS SMITH
Title or Position: THERAPIST AND OWNER
Credential: LPC-S
Phone: 832-384-4357