MEDICARE: BE SONDER THERAPY, PLLC

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	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1508683004
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BE SONDER THERAPY, PLLC

Provider Business Mailing Address
First Line	:	336 1/2 N MAIN ST STE 217
Second Line	:
City	:	CONROE
State	:	TX
Zip	:	77301-3379
Country	:	US
Telephone Number	:	346-489-4687
Fax Number	:	346-202-0083

Provider Business Practice Location Address
First Line	:	336 1/2 N MAIN ST STE 217
Second Line	:
City	:	CONROE
State	:	TX
Zip	:	77301-3379
Country	:	US
Telephone Number	:	346-489-4687
Fax Number	:	346-202-0083

Authorized Official
Title or Position	:	CO-OWNER
Name	:	SARAH GALVEZ
Credential	:	LPC
Telephone Number	:	346-676-2774

Provider Enumeration Date	:	09/25/2024
Last Update Date	:	03/20/2025

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