MEMORIAL HERMANN COUNSELING CENTER NPI 1447214341

NPI Information

NPI: 1447214341
Provider Name: MEMORIAL HERMANN COUNSELING CENTER
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

CLIA Number: 45D2001913

Address:
2000 NORTH LOOP WEST
SUITE 200
HOUSTON, TX
ZIP 77018
Phone: (713) 868-2908
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MEMORIAL HERMANN COUNSELING CENTER is a mental health counselor in Houston, TX. MEMORIAL HERMANN COUNSELING CENTER NPI is 1447214341. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2000 NORTH LOOP WEST
SUITE 200
HOUSTON, TX
ZIP 77018
Phone: (713) 868-2908
Fax: (713) 864-2395

The provider's authorized official is Ava B Profota .
The authorized official title is Clinical Manager and has the following contact phone number (713) 868-2908.

The CLIA number assigned to this NPI record is 45D2001913 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/17/2006 and was last updated on 8/8/2008.

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	License Number	License State	Primary
1	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	1722852	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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