Provider Demographics
NPI:1922436047
Name:THE GREAT COUNSELOR HEALTH SERVICES
Entity Type:Organization
Organization Name:THE GREAT COUNSELOR HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHIOMA
Authorized Official - Middle Name:NGOZI
Authorized Official - Last Name:ODILI
Authorized Official - Suffix:
Authorized Official - Credentials:R N
Authorized Official - Phone:713-298-1777
Mailing Address - Street 1:12103 FONDREN BEND DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77071-2455
Mailing Address - Country:US
Mailing Address - Phone:713-298-1777
Mailing Address - Fax:
Practice Address - Street 1:12103 FONDREN BEND DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77071-2455
Practice Address - Country:US
Practice Address - Phone:713-298-1777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-29
Last Update Date:2013-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX759504251J00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care