Provider Demographics
NPI:1518617117
Name:SOZO COUNSELING SERVICES
Entity Type:Organization
Organization Name:SOZO COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:TASHANNA SNELL
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:SNELL
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-TX, LICSW-WA
Authorized Official - Phone:253-677-0952
Mailing Address - Street 1:133 HARE RD. #1313
Mailing Address - Street 2:
Mailing Address - City:CROSBY
Mailing Address - State:TX
Mailing Address - Zip Code:77532
Mailing Address - Country:US
Mailing Address - Phone:281-962-2032
Mailing Address - Fax:
Practice Address - Street 1:11327 CASCADING STREAM WAY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77044-2257
Practice Address - Country:US
Practice Address - Phone:253-677-0952
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-25
Last Update Date:2022-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty