Provider Demographics
NPI:1851012371
Name:WEST HOUSTON COUNSELING AND PSYCHOLOGY, LLC
Entity Type:Organization
Organization Name:WEST HOUSTON COUNSELING AND PSYCHOLOGY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:NICKELSON
Authorized Official - Last Name:HAINE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-S
Authorized Official - Phone:832-230-1167
Mailing Address - Street 1:14133 MEMORIAL DR STE 7
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-6800
Mailing Address - Country:US
Mailing Address - Phone:832-230-1167
Mailing Address - Fax:
Practice Address - Street 1:14133 MEMORIAL DR STE 7
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-6800
Practice Address - Country:US
Practice Address - Phone:832-230-1167
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-05
Last Update Date:2022-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty