Provider Demographics
NPI: | 1821587452 |
---|---|
Name: | CLEARHOPE COUNSELING AND WELLNESS CENTER, PC |
Entity Type: | Organization |
Organization Name: | CLEARHOPE COUNSELING AND WELLNESS CENTER, PC |
Other - Org Name: | CLEARHOPE COUNSELING AND WELLNESS |
Other - Org Type: | Doing Business As |
Authorized Official - Title/Position: | PRESIDENT |
Authorized Official - Prefix: | |
Authorized Official - First Name: | HEATHER |
Authorized Official - Middle Name: | LOVE |
Authorized Official - Last Name: | LAMBERT |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | LPC |
Authorized Official - Phone: | 281-769-2238 |
Mailing Address - Street 1: | 6021 FAIRMONT PKWY STE 200 |
Mailing Address - Street 2: | |
Mailing Address - City: | PASADENA |
Mailing Address - State: | TX |
Mailing Address - Zip Code: | 77505-4511 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 281-760-8454 |
Mailing Address - Fax: | 281-991-9706 |
Practice Address - Street 1: | 6021 FAIRMONT PKWY STE 200 |
Practice Address - Street 2: | |
Practice Address - City: | PASADENA |
Practice Address - State: | TX |
Practice Address - Zip Code: | 77505-4511 |
Practice Address - Country: | US |
Practice Address - Phone: | 281-760-8454 |
Practice Address - Fax: | 281-991-9706 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2018-05-09 |
Last Update Date: | 2024-03-13 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
101Y00000X, 103TC0700X, 103TC2200X, 1041C0700X, 167G00000X, 171M00000X, 172V00000X, 175T00000X, 251B00000X, 261QC1500X, 261QM0801X, 261QR0401X, 343900000X, 363LP0808X | ||
TX | 69928 | 251S00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 251S00000X | Agencies | Community/Behavioral Health | ||
No | 101Y00000X | Behavioral Health & Social Service Providers | Counselor | Group - Single Specialty | |
No | 103TC0700X | Behavioral Health & Social Service Providers | Psychologist | Clinical | Group - Single Specialty |
No | 103TC2200X | Behavioral Health & Social Service Providers | Psychologist | Clinical Child & Adolescent | Group - Single Specialty |
No | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | Clinical | Group - Single Specialty |
No | 167G00000X | Nursing Service Providers | Licensed Psychiatric Technician | Group - Single Specialty | |
No | 171M00000X | Other Service Providers | Case Manager/Care Coordinator | Group - Single Specialty | |
No | 172V00000X | Other Service Providers | Community Health Worker | Group - Single Specialty | |
No | 175T00000X | Other Service Providers | Peer Specialist | Group - Single Specialty | |
No | 251B00000X | Agencies | Case Management | ||
No | 261QC1500X | Ambulatory Health Care Facilities | Clinic/Center | Community Health | |
No | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center | Mental Health (Including Community Mental Health Center) | |
No | 261QR0401X | Ambulatory Health Care Facilities | Clinic/Center | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | |
No | 343900000X | Transportation Services | Non-emergency Medical Transport (VAN) | Group - Single Specialty | |
No | 363LP0808X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Psychiatric/Mental Health | Group - Single Specialty |