MEDICARE: THE RESET UNIVERSE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101YP2500X	Professional Counselor
2	101YM0800X	Mental Health Counselor
3	101Y00000X	Counselor
4	101YA0400X	Addiction (Substance Use Disorder) Counselor
5	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1306703426
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE RESET UNIVERSE

Provider Business Mailing Address
First Line	:	4201 FM 1960 RD W STE 235
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77068-3498
Country	:	US
Telephone Number	:	832-469-4955
Fax Number	:

Provider Business Practice Location Address
First Line	:	4201 FM 1960 RD W STE 235
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77068-3498
Country	:	US
Telephone Number	:	832-469-4955
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	NATOSHA WILSON
Credential	:	LMFT-S, LCDC
Telephone Number	:	832-469-4955

Provider Enumeration Date	:	01/09/2026
Last Update Date	:	01/11/2026

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Directions to “THE RESET UNIVERSE ” Practice Location

Language	Start Address	Practice Location

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