Healthcare Provider Details

I. General information

NPI: 1225437726
Provider Name (Legal Business Name): HOUSTON COUNSELING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2014
Last Update Date: 08/20/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33440 1ST WAY S SUITE 202
FEDERAL WAY WA
98003-6222
US

IV. Provider business mailing address

33440 1ST WAY S SUITE 202
FEDERAL WAY WA
98003-6222
US

V. Phone/Fax

Practice location:
  • Phone: 253-709-9131
  • Fax:
Mailing address:
  • Phone: 253-709-9131
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCP00003698
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLH00010663
License Number StateWA
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLW00009326
License Number StateWA

VIII. Authorized Official

Name: ANTHONY HOUSTON
Title or Position: OWNER
Credential: LICSW LMHC CDP MAC
Phone: 206-499-0720