Provider Demographics
NPI:1497925846
Name:T.Y.E. COUNSELING SERVICE
Entity Type:Organization
Organization Name:T.Y.E. COUNSELING SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPC/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:YARINIKA
Authorized Official - Middle Name:MONIQUE
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-705-0216
Mailing Address - Street 1:1407 CRESCENT OAK DR
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-4564
Mailing Address - Country:US
Mailing Address - Phone:713-705-0216
Mailing Address - Fax:
Practice Address - Street 1:1407 CRESCENT OAK DR
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-4564
Practice Address - Country:US
Practice Address - Phone:713-705-0216
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-29
Last Update Date:2008-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18761101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1Medicaid