ETHEL ROW LLC NPI 1013495696

NPI Information

NPI: 1013495696
Provider Name: ETHEL ROW, LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
1 HERMANN PARK COURT
UNIT 645
HOUSTON, TX
ZIP 77021
Phone: (713) 909-9247
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ETHEL ROW, LLC is a mental health counselor in Houston, TX. ETHEL ROW, LLC NPI is 1013495696. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1 HERMANN PARK COURT
UNIT 645
HOUSTON, TX
ZIP 77021
Phone: (713) 909-9247

The provider's authorized official is Ronnie Otis Washington .
The authorized official title is Owner/executive Director and has the following contact phone number (713) 909-9247.

The enumeration date for this NPI number is 8/5/2018 and was last updated on 8/5/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101Y00000X	Counselor		No
2	101YP2500X	Counselor	Professional	No
3	101YS0200X	Counselor	School	No
4	103T00000X	Psychologist		No
5	103TA0400X	Psychologist	Addiction (Substance Use Disorder)	No
6	103TA0700X	Psychologist	Adult Development & Aging	No
7	103TB0200X	Psychologist	Cognitive & Behavioral	No
8	103TC0700X	Psychologist	Clinical	No
9	103TC2200X	Psychologist	Clinical Child & Adolescent	No
10	103TF0000X	Psychologist	Family	No
11	103TM1800X	Psychologist	Intellectual and Developmental Disabilities	No
12	103TP0016X	Psychologist	Prescribing (Medical)	No
13	1041C0700X	Social Worker	Clinical	No
14	101YA0400X	Counselor	Addiction (Substance Use Disorder)	No
15	101YM0800X	Counselor	Mental Health	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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