Provider Demographics
NPI:1720459464
Name:GONZALEZ COUNSELING PC
Entity Type:Organization
Organization Name:GONZALEZ COUNSELING PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRIANNA
Authorized Official - Middle Name:LEIGH
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:972-979-7986
Mailing Address - Street 1:18534 FORTY SIX PKWY
Mailing Address - Street 2:SUITE 4
Mailing Address - City:SPRING BRANCH
Mailing Address - State:TX
Mailing Address - Zip Code:78070-6876
Mailing Address - Country:US
Mailing Address - Phone:972-979-7986
Mailing Address - Fax:866-432-0711
Practice Address - Street 1:18534 FORTY SIX PKWY
Practice Address - Street 2:SUITE 4
Practice Address - City:SPRING BRANCH
Practice Address - State:TX
Practice Address - Zip Code:78070-6876
Practice Address - Country:US
Practice Address - Phone:972-979-7986
Practice Address - Fax:866-432-0711
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-07
Last Update Date:2015-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX71566101Y00000X, 101YA0400X, 101YM0800X, 101YP2500X, 106H00000X, 251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty