Provider Demographics
NPI:1679763999
Name:CENTERPOINTE COUNSELING SERVICES INC
Entity Type:Organization
Organization Name:CENTERPOINTE COUNSELING SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LOU
Authorized Official - Middle Name:A
Authorized Official - Last Name:GUILLORY
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW LMFT
Authorized Official - Phone:713-528-7007
Mailing Address - Street 1:4702 LABRANCH
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-5042
Mailing Address - Country:US
Mailing Address - Phone:713-528-7007
Mailing Address - Fax:713-529-5965
Practice Address - Street 1:4702 LABRANCH
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-5042
Practice Address - Country:US
Practice Address - Phone:713-528-7007
Practice Address - Fax:713-529-5965
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-01
Last Update Date:2007-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXLCDC 4054101YA0400X
TXLMSW S193251041C0700X
TXLMFT 001091106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
8003BHMedicare UPIN