Provider Demographics
| NPI: | 1386911709 |
|---|---|
| Name: | PAMELA D. SCHUBERT LPC, PC |
| Entity type: | Organization |
| Organization Name: | PAMELA D. SCHUBERT LPC, PC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | PRESIDENT |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | PAMELA |
| Authorized Official - Middle Name: | D |
| Authorized Official - Last Name: | SCHUBERT |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | LPC |
| Authorized Official - Phone: | 713-864-9339 |
| Mailing Address - Street 1: | 519 TEETSHORN ST |
| Mailing Address - Street 2: | |
| Mailing Address - City: | HOUSTON |
| Mailing Address - State: | TX |
| Mailing Address - Zip Code: | 77009-7533 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 713-864-9339 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 9525 KATY FWY |
| Practice Address - Street 2: | 135 |
| Practice Address - City: | HOUSTON |
| Practice Address - State: | TX |
| Practice Address - Zip Code: | 77024-1407 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 713-864-9339 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2011-11-30 |
| Last Update Date: | 2011-11-30 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| TX | 13704 | 101YP2500X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | Professional | Group - Single Specialty |