MEDICARE: CLEARHOPE COUNSELING AND WELLNESS CENTER, PC

Medicare Provider Information

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QC1500X	Community Health Clinic/Center
2	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
3	261QR0401X	Comprehensive Outpatient Rehabilitation Facility (CORF)
4	343900000X	Non-emergency Medical Transport (VAN)
5	363LP0808X	Psychiatric/Mental Health Nurse Practitioner
6	167G00000X	Licensed Psychiatric Technician
7	171M00000X	Case Manager/Care Coordinator
8	172V00000X	Community Health Worker
9	175T00000X	Peer Specialist
10	251S00000X	Community/Behavioral Health Agency	69928	TX
11	1041C0700X	Clinical Social Worker
12	101Y00000X	Counselor
13	103TC0700X	Clinical Psychologist
14	103TC2200X	Clinical Child & Adolescent Psychologist
15	251B00000X	Case Management Agency

NPI Number	:	1821587452
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLEARHOPE COUNSELING AND WELLNESS CENTER, PC

Provider Business Mailing Address
First Line	:	6021 FAIRMONT PKWY STE 200
Second Line	:
City	:	PASADENA
State	:	TX
Zip	:	77505-4511
Country	:	US
Telephone Number	:	281-760-8454
Fax Number	:	281-991-9706

Provider Business Practice Location Address
First Line	:	6021 FAIRMONT PKWY STE 200
Second Line	:
City	:	PASADENA
State	:	TX
Zip	:	77505-4511
Country	:	US
Telephone Number	:	281-760-8454
Fax Number	:	281-991-9706

Authorized Official
Title or Position	:	PRESIDENT
Name	:	HEATHER LOVE LAMBERT
Credential	:	LPC
Telephone Number	:	281-769-2238

Provider Enumeration Date	:	05/09/2018
Last Update Date	:	08/20/2024

6021 FAIRMONT PARKWAY STE 200
PASADENA, TX
77505-4511

Practice Phone: 817-692-2382
Practice Fax: 281-729-2164