Healthcare Provider Details

I. General information

NPI: 1780156372
Provider Name (Legal Business Name): HAPPY LIFE COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/20/2018
Last Update Date: 12/20/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14090 FM 2920 RD STE G145
TOMBALL TX
77377-5549
US

IV. Provider business mailing address

9249 S BROADWAY STE 200-206
HIGHLANDS RANCH CO
80129-5690
US

V. Phone/Fax

Practice location:
  • Phone: 720-819-6305
  • Fax:
Mailing address:
  • Phone: 720-819-6305
  • 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 Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SHERI SIMS
Title or Position: OWNER
Credential: M.ED., LPC
Phone: 720-819-6305