Provider Demographics
NPI:1134794159
Name:AMAD COUNSELING SERVICES, PLLC
Entity type:Organization
Organization Name:AMAD COUNSELING SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GABRIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:402-320-8701
Mailing Address - Street 1:PO BOX 301270
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77230-1270
Mailing Address - Country:US
Mailing Address - Phone:402-320-8701
Mailing Address - Fax:
Practice Address - Street 1:800 ROCKMEAD RD
Practice Address - Street 2:STE 113
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-1314
Practice Address - Country:US
Practice Address - Phone:402-320-8701
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-21
Last Update Date:2022-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty