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PETTIS COUNSELING PLLC NPI 1639528789


NPI Information

NPI: 1639528789
Provider Name: PETTIS COUNSELING, PLLC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
505 N SAM HOUSTON PKWY E
SUITE 154
HOUSTON, TX
ZIP 77060
Phone: (281) 222-6714
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PETTIS COUNSELING, PLLC is a professional counselor in Houston, TX. PETTIS COUNSELING, PLLC NPI is 1639528789. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

505 N SAM HOUSTON PKWY E
SUITE 154
HOUSTON, TX
ZIP 77060-018
Phone: (281) 222-6714
Fax: (832) 777-6031

The provider's authorized official is Linda Pettis Ellis .
The authorized official title is Manager and has the following contact phone number (281) 222-6714.

The enumeration date for this NPI number is 6/9/2016 and was last updated on 6/9/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)TEXASNo
2101YM0800XCounselorMental HealthTEXASNo
3101YS0200XCounselorSchoolTEXASNo
4103TB0200XPsychologistCognitive & BehavioralTEXASNo
5101YP2500XCounselorProfessionalTEXASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1127584803MEDICAIDTEXAS

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.