Provider Demographics
NPI:1265783393
Name:PNL COUNSELING, PLLC
Entity type:Organization
Organization Name:PNL COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KELLEE
Authorized Official - Middle Name:RICHARDS
Authorized Official - Last Name:LANDRY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:832-428-7756
Mailing Address - Street 1:14410 QUIET SUMMER LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77044-5460
Mailing Address - Country:US
Mailing Address - Phone:832-428-7756
Mailing Address - Fax:
Practice Address - Street 1:14410 QUIET SUMMER LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77044-5460
Practice Address - Country:US
Practice Address - Phone:832-428-7756
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-28
Last Update Date:2012-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX61904101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX203752502Medicaid