=====================================================
General NPI Number Information
=====================================================
NPI Number | 1356435226
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | WHOLISTIC COUNSELING SERVICES, INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/03/2006
-----------------------------------------------------
Last Update Date | 09/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5123 KINGSBURY STREET
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77021
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 713-747-6416
-----------------------------------------------------
Fax | 713-747-6416
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4450 S. WAYSIDE DR. SUITE 100B
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77087
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 713-645-1400
-----------------------------------------------------
Fax | 713-747-6416
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | EXECUTIVE DIRECTOR - CEO
-----------------------------------------------------
Name | DR. MARILYN HAMILTON
-----------------------------------------------------
Credential | LCDC, CCJS, CAMC
-----------------------------------------------------
Telephone | 713-747-6416
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YA0400X
-----------------------------------------------------
Taxonomy Name | Addiction (Substance Use Disorder) Counselor
-----------------------------------------------------
License Number | 4972
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number | A12292
-----------------------------------------------------
License Number State | IN
-----------------------------------------------------