MEDICARE: A PEACEFUL MIND COUNSELING CENTER

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1447968227
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A PEACEFUL MIND COUNSELING CENTER

Provider Business Mailing Address
First Line	:	16815 ROYAL CREST DR STE 100
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77058-2549
Country	:	US
Telephone Number	:	346-910-8767
Fax Number	:	346-810-8737

Provider Business Practice Location Address
First Line	:	16815 ROYAL CREST DR STE 100
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77058-2549
Country	:	US
Telephone Number	:	346-910-8767
Fax Number	:	346-810-8737

Authorized Official
Title or Position	:	OWNER/CLINICAL DIRECTOR
Name	:	DR. ASHLEY GONZALEZ
Credential	:	LPC
Telephone Number	:	346-313-4466

Provider Enumeration Date	:	11/09/2022
Last Update Date	:	03/03/2026

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