Provider Demographics
NPI:1235894395
Name:V.A.L.O.R PSYCHOTHERAPY
Entity Type:Organization
Organization Name:V.A.L.O.R PSYCHOTHERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:THEATRIC
Authorized Official - Middle Name:L
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:832-786-9703
Mailing Address - Street 1:1305 1/2 WEST TIDWELL RD.
Mailing Address - Street 2:UNIT 10
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77091
Mailing Address - Country:US
Mailing Address - Phone:832-786-9703
Mailing Address - Fax:
Practice Address - Street 1:1305 1/2 WEST TIDWELL RD.
Practice Address - Street 2:UNIT 10
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77091
Practice Address - Country:US
Practice Address - Phone:832-786-9703
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-03
Last Update Date:2021-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty