NPI Code Details Logo

NPI 1891699120

NPI 1891699120 : JY SERENE COUNSELING SERVICES LLC : CYPRESS, TX

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1891699120
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    JY SERENE COUNSELING SERVICES LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    10/08/2026
-----------------------------------------------------
    Last Update Date     |    10/08/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    20218 CREEKDALE BEND DR 
-----------------------------------------------------
    City                 |    CYPRESS
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    77433-7474
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    713-775-2633
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    20218 CREEKDALE BEND DR 
-----------------------------------------------------
    City                 |    CYPRESS
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    77433-7474
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |     CHARRICKA  HEWITT 
-----------------------------------------------------
    Credential           |    LPC
-----------------------------------------------------
    Telephone            |    832-364-0745
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    101YM0800X
-----------------------------------------------------
    Taxonomy Name        |    Mental Health Counselor
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    NULL
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.