Provider Demographics
NPI:1811654023
Name:WELLMIND COUNSELING CENTER PLLC
Entity type:Organization
Organization Name:WELLMIND COUNSELING CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:FLORENCE
Authorized Official - Middle Name:F
Authorized Official - Last Name:ALAO
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:281-323-0940
Mailing Address - Street 1:12314 SHORE LANDS RD
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-2627
Mailing Address - Country:US
Mailing Address - Phone:281-323-0940
Mailing Address - Fax:
Practice Address - Street 1:1915 N FRAZIER ST STE 102
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77301-1243
Practice Address - Country:US
Practice Address - Phone:832-738-5169
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-22
Last Update Date:2021-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty