Provider Demographics
NPI:1679086615
Name:HOUSTON PSYCHOLOGY AND WELLNESS, PLLC
Entity Type:Organization
Organization Name:HOUSTON PSYCHOLOGY AND WELLNESS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:KARINA
Authorized Official - Last Name:PIHLASKARI
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:832-430-2015
Mailing Address - Street 1:1111 NORTH LOOP W STE 820
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008-4715
Mailing Address - Country:US
Mailing Address - Phone:832-430-2015
Mailing Address - Fax:
Practice Address - Street 1:1111 NORTH LOOP W STE 820
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-4715
Practice Address - Country:US
Practice Address - Phone:832-430-2015
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-13
Last Update Date:2017-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & AdolescentGroup - Single Specialty