=====================================================
General NPI Number Information
=====================================================
NPI Number | 1043027865
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ORI HOPE COUNSELING PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/16/2024
-----------------------------------------------------
Last Update Date | 12/16/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 13100 WORTHAM CENTER DR STE 358A
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77065-5635
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 346-946-5639
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 28610 HIGHWAY 290 STE F09
-----------------------------------------------------
City | CYPRESS
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77433-5463
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 346-946-5639
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | LICENSE PROFESSIONAL COUNSELOR/OWNE
-----------------------------------------------------
Name | MRS. ANGGIE PAOLA PEDRAZA-WATSON
-----------------------------------------------------
Credential | LPC
-----------------------------------------------------
Telephone | 346-946-5639
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------