Provider Demographics
NPI:1437911054
Name:COUNSELING CENTER AT CINCO RANCH
Entity Type:Organization
Organization Name:COUNSELING CENTER AT CINCO RANCH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:D
Authorized Official - Last Name:BARTON
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC-S
Authorized Official - Phone:832-372-5900
Mailing Address - Street 1:23236 KINGSPLACE DR STE A
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-2075
Mailing Address - Country:US
Mailing Address - Phone:281-665-7811
Mailing Address - Fax:
Practice Address - Street 1:23236 KINGSPLACE DR STE A
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-2075
Practice Address - Country:US
Practice Address - Phone:281-665-7811
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-29
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty