| Provost Psychotherapy | |
|
1300 Bay Area Blvd Ste B150-28 Houston TX 77058-2505 | |
| (325) 603-9322 | |
| Not Available |
| Full Name | Provost Psychotherapy |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1300 Bay Area Blvd Ste B150-28, Houston, Texas |
| Authorized Official Name and Position | Elizabeth Erin Provost (CLINICAL DIRECTOR) |
| Authorized Official Contact | 7133021348 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Provost Psychotherapy 1300 Bay Area Blvd Ste B150-28 Houston TX 77058-2505 Ph: (325) 603-9322 | Provost Psychotherapy 1300 Bay Area Blvd Ste B150-28 Houston TX 77058-2505 Ph: (325) 603-9322 |
| NPI Number | 1134729106 |
|---|---|
| Provider Enumeration Date | 10/29/2020 |
| Last Update Date | 10/29/2020 |
| Certification Date | 10/29/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134729106 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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