NPI Code Details Logo

NPI 1922577485

NPI 1922577485 : CHARLES HUSTON MCCOMB JR. LPC-S, CSAT, CMAT : PEARLAND, TX

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1922577485
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    CHARLES HUSTON MCCOMB JR. LPC-S, CSAT, CMAT
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    11/14/2018
-----------------------------------------------------
    Last Update Date     |    02/17/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    2947 BROADWAY ST STE 100 STE 100
-----------------------------------------------------
    City                 |    PEARLAND
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    77581-9500
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    346-302-8089
-----------------------------------------------------
    Fax                  |    346-635-7109
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    2947 BROADWAY ST STE 100 
-----------------------------------------------------
    City                 |    PEARLAND
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    77581-9500
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    346-302-8089
-----------------------------------------------------
    Fax                  |    346-635-7109
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    101YM0800X
-----------------------------------------------------
    Taxonomy Name        |    Mental Health Counselor
-----------------------------------------------------
    License Number       |    62699
-----------------------------------------------------
    License Number State |    TX
-----------------------------------------------------



                        

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