Provider Demographics
NPI:1073770921
Name:COUNSELING RESOURCE CENTER, PLLC
Entity Type:Organization
Organization Name:COUNSELING RESOURCE CENTER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:BOLTON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:281-255-9922
Mailing Address - Street 1:111 HOUSTON ST
Mailing Address - Street 2:
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77375-4759
Mailing Address - Country:US
Mailing Address - Phone:281-255-9922
Mailing Address - Fax:281-255-9064
Practice Address - Street 1:111 HOUSTON ST
Practice Address - Street 2:
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77375-4759
Practice Address - Country:US
Practice Address - Phone:281-255-9922
Practice Address - Fax:281-255-9064
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-19
Last Update Date:2011-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX61425101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty