Provider Demographics
NPI:1720416779
Name:TEJAS COUNSELING CENTERS
Entity Type:Organization
Organization Name:TEJAS COUNSELING CENTERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MIGUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:DE LUNA
Authorized Official - Suffix:JR
Authorized Official - Credentials:JD
Authorized Official - Phone:832-703-4607
Mailing Address - Street 1:4000 DOVER ST
Mailing Address - Street 2:SUITE A1
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77087-4693
Mailing Address - Country:US
Mailing Address - Phone:713-649-1200
Mailing Address - Fax:713-649-1201
Practice Address - Street 1:4000 DOVER ST
Practice Address - Street 2:SUITE A1
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77087-4693
Practice Address - Country:US
Practice Address - Phone:713-649-1200
Practice Address - Fax:713-649-1201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-29
Last Update Date:2013-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3659-3660101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty