Provider Demographics
NPI:1154093581
Name:EMOTIONAL SUPPORT 365, PC
Entity Type:Organization
Organization Name:EMOTIONAL SUPPORT 365, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LORIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CORRIGAN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:713-504-4211
Mailing Address - Street 1:8900 EASTLOCH DR STE 110A
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-2338
Mailing Address - Country:US
Mailing Address - Phone:713-504-4211
Mailing Address - Fax:
Practice Address - Street 1:8900 EASTLOCH DR STE 110A
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-2338
Practice Address - Country:US
Practice Address - Phone:713-504-4211
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-04
Last Update Date:2021-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty