MEDICARE: HEALING THREAD COUNSELING CENTER 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	:	1548191877
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALING THREAD COUNSELING CENTER PLLC

Provider Business Mailing Address
First Line	:	1111 FM 1485 RD UNIT 4117
Second Line	:
City	:	CONROE
State	:	TX
Zip	:	77301-6825
Country	:	US
Telephone Number	:	936-499-9476
Fax Number	:

Provider Business Practice Location Address
First Line	:	2919 PALOMINOS WAY
Second Line	:
City	:	CONROE
State	:	TX
Zip	:	77301
Country	:	US
Telephone Number	:	936-499-9476
Fax Number	:

Authorized Official
Title or Position	:	LICENSED PROFESSIONAL COUNSELOR
Name	:	CYNTHIA IVETTE GONZALEZ
Credential	:	LPC
Telephone Number	:	936-499-9476

Provider Enumeration Date	:	05/26/2026
Last Update Date	:	05/26/2026

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