Provider Demographics
NPI:1649594573
Name:KINARA COUNSELING CENTER, PLLC
Entity Type:Organization
Organization Name:KINARA COUNSELING CENTER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:NADIA
Authorized Official - Middle Name:
Authorized Official - Last Name:DAMANI-KHOJA
Authorized Official - Suffix:
Authorized Official - Credentials:MBA, MS, LMFT
Authorized Official - Phone:832-790-3765
Mailing Address - Street 1:5909 WEST LOOP S
Mailing Address - Street 2:STE 320
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-2402
Mailing Address - Country:US
Mailing Address - Phone:832-790-3765
Mailing Address - Fax:
Practice Address - Street 1:5909 WEST LOOP S
Practice Address - Street 2:STE 320
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-2402
Practice Address - Country:US
Practice Address - Phone:832-790-3765
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-22
Last Update Date:2010-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX201157106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty