Provider Demographics
NPI:1497121065
Name:HANNAH GOLUB LCSW
Entity Type:Organization
Organization Name:HANNAH GOLUB LCSW
Other - Org Name:HANNAH GOLUB LCSW
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:HANNAH
Authorized Official - Middle Name:SHULEVITZ
Authorized Official - Last Name:GOLUB
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:713-724-3516
Mailing Address - Street 1:4119 MONTROSE BLVD
Mailing Address - Street 2:SUITE 150
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77006-4963
Mailing Address - Country:US
Mailing Address - Phone:713-724-3516
Mailing Address - Fax:
Practice Address - Street 1:4119 MONTROSE BLVD
Practice Address - Street 2:SUITE 150
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77006-4963
Practice Address - Country:US
Practice Address - Phone:713-724-3516
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-18
Last Update Date:2015-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX402561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty