Provider Demographics
NPI:1629743513
Name:GUIDED PATH COUNSELING AND FAMILY SERVICES LLC.
Entity Type:Organization
Organization Name:GUIDED PATH COUNSELING AND FAMILY SERVICES LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LEAH
Authorized Official - Middle Name:COLETTE
Authorized Official - Last Name:MAYON
Authorized Official - Suffix:
Authorized Official - Credentials:MS,LCDC
Authorized Official - Phone:281-583-5003
Mailing Address - Street 1:12830 WILLOW CENTRE DR STE C
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77066-3040
Mailing Address - Country:US
Mailing Address - Phone:281-583-5003
Mailing Address - Fax:346-229-1749
Practice Address - Street 1:12830 WILLOW CENTRE DR STE C
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77066-3040
Practice Address - Country:US
Practice Address - Phone:281-583-5003
Practice Address - Fax:346-229-1749
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-12
Last Update Date:2021-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX205318186OtherLEAH MAYON