Provider Demographics
NPI:1255541140
Name:BEAUTY FOR ASHES COUNSELING SERVICE
Entity type:Organization
Organization Name:BEAUTY FOR ASHES COUNSELING SERVICE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FOUNDER AND PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:DORIS
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:PAYTON
Authorized Official - Suffix:
Authorized Official - Credentials:LCDC, CCC
Authorized Official - Phone:713-649-7925
Mailing Address - Street 1:7535 ASHBURN ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77061-1503
Mailing Address - Country:US
Mailing Address - Phone:713-649-7925
Mailing Address - Fax:
Practice Address - Street 1:7535 ASHBURN ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77061-1503
Practice Address - Country:US
Practice Address - Phone:713-649-7925
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX100-10488101YP1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoralGroup - Single Specialty