Provider Demographics
NPI:1700625845
Name:CELIS, ALVARO JOSE (LPC)
Entity type:Individual
Prefix:
First Name:ALVARO
Middle Name:JOSE
Last Name:CELIS
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:722 PIN OAK RD STE 220
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-6328
Mailing Address - Country:US
Mailing Address - Phone:281-371-0360
Mailing Address - Fax:281-371-2080
Practice Address - Street 1:722 PIN OAK RD STE 220
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-6328
Practice Address - Country:US
Practice Address - Phone:281-371-0360
Practice Address - Fax:281-371-2080
Is Sole Proprietor?:No
Enumeration Date:2024-05-20
Last Update Date:2024-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX89321101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional