Provider Demographics
NPI:1598356339
Name:DR. MARIA N. HOUSTON WELLNESS SOLUTION, LLC
Entity Type:Organization
Organization Name:DR. MARIA N. HOUSTON WELLNESS SOLUTION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:N
Authorized Official - Last Name:HOUSTON
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:614-598-5096
Mailing Address - Street 1:2019 PRINCE GEORGE DR APT C
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43209-3475
Mailing Address - Country:US
Mailing Address - Phone:614-598-5096
Mailing Address - Fax:
Practice Address - Street 1:2019 PRINCE GEORGE DR APT C
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43209-3475
Practice Address - Country:US
Practice Address - Phone:614-598-5096
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-02
Last Update Date:2021-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty