Provider Demographics
NPI:1093467318
Name:PURE BLISS COUNSELING PLLC
Entity Type:Organization
Organization Name:PURE BLISS COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LEAD CLINICIAN
Authorized Official - Prefix:MRS
Authorized Official - First Name:TREVOR
Authorized Official - Middle Name:
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:409-457-2514
Mailing Address - Street 1:9242 LOGANS RUN LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77075-4862
Mailing Address - Country:US
Mailing Address - Phone:409-457-2514
Mailing Address - Fax:
Practice Address - Street 1:2225 COUNTY ROAD 90 STE 219
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-5111
Practice Address - Country:US
Practice Address - Phone:832-916-4416
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-19
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty