| Providential Counseling And Consulting Services, Pllc | |
|
2656 S Loop W Ste 305 Houston TX 77054-2674 | |
| (832) 767-0760 | |
| (832) 767-0763 |
| Full Name | Providential Counseling And Consulting Services, Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2656 S Loop W Ste 305, Houston, Texas |
| Authorized Official Name and Position | Richelle Whittaker (LPC/OWNER) |
| Authorized Official Contact | 8327670760 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Providential Counseling And Consulting Services, Pllc 11313 Windy Dawn Dr Pearland TX 77584-8216 Ph: (713) 436-3532 | Providential Counseling And Consulting Services, Pllc 2656 S Loop W Ste 305 Houston TX 77054-2674 Ph: (832) 767-0760 |
| NPI Number | 1043529407 |
|---|---|
| Provider Enumeration Date | 10/04/2010 |
| Last Update Date | 10/04/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043529407 | NPI | - | NPPES |
| 210447301 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 64015 (Texas) | Primary |
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