Provider Demographics
NPI:1780200618
Name:CALDWELL COUNSELING CENTER
Entity Type:Organization
Organization Name:CALDWELL COUNSELING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:DAN
Authorized Official - Middle Name:NORMAN
Authorized Official - Last Name:CALDWELL
Authorized Official - Suffix:JR
Authorized Official - Credentials:MA, LCDC-CCS, ADC
Authorized Official - Phone:832-326-6276
Mailing Address - Street 1:25611 PANNIER PL
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77493-3699
Mailing Address - Country:US
Mailing Address - Phone:832-326-6276
Mailing Address - Fax:
Practice Address - Street 1:11999 KATY FWY STE 530
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-1623
Practice Address - Country:US
Practice Address - Phone:832-443-2983
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-16
Last Update Date:2020-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty