Provider Demographics
NPI:1659372647
Name:TIM MAVERGEORGE
Entity Type:Organization
Organization Name:TIM MAVERGEORGE
Other - Org Name:HOUSTON CENTER FOR CHRISTIAN COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CONTRACT THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:R
Authorized Official - Last Name:JENKINS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:281-277-8811
Mailing Address - Street 1:13333 SOUTHWEST FWY
Mailing Address - Street 2:HOUSTON CENTER FOR CHRISTIAN COUNSELING SUITE# 230
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-3581
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:13333 SOUTHWEST FWY
Practice Address - Street 2:HOUSTON CENTER FOR CHRISTIAN COUNSELING SUITE# 230
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-3581
Practice Address - Country:US
Practice Address - Phone:281-277-8811
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LPC 04719101YP2500X
TXLMFT 000635-041239106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty