MEDICARE: PURE HOPE COUNSELING 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	101Y00000X	Counselor

General Provider Information

NPI Number	:	1851885974
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PURE HOPE COUNSELING PLLC

Provider Business Mailing Address
First Line	:	1707 1/2 POST OAK BLVD # 430
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77056-3801
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1111 POST OAK BLVD APT 1308
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77056-3291
Country	:	US
Telephone Number	:	713-922-4313
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	BRITTNEY DOTSON
Credential	:
Telephone Number	:	713-922-4313

Provider Enumeration Date	:	06/21/2018
Last Update Date	:	07/05/2022

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