Provider Demographics
NPI:1629401948
Name:SMITHSON VALLEY COUNSELING CENTER, INC.
Entity Type:Organization
Organization Name:SMITHSON VALLEY COUNSELING CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:MCHENRY
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD MFT RAS
Authorized Official - Phone:830-885-7648
Mailing Address - Street 1:2206 COMAL SPGS
Mailing Address - Street 2:
Mailing Address - City:CANYON LAKE
Mailing Address - State:TX
Mailing Address - Zip Code:78133-5996
Mailing Address - Country:US
Mailing Address - Phone:830-885-7648
Mailing Address - Fax:800-244-7801
Practice Address - Street 1:6102 FM 311
Practice Address - Street 2:
Practice Address - City:SPRING BRANCH
Practice Address - State:TX
Practice Address - Zip Code:78070-7247
Practice Address - Country:US
Practice Address - Phone:830-885-7648
Practice Address - Fax:800-244-7801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-11
Last Update Date:2013-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX202037106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty