Provider Demographics
NPI:1841026325
Name:ELORA COUNSELING SERVICES, LLC
Entity type:Organization
Organization Name:ELORA COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:LEAH
Authorized Official - Middle Name:
Authorized Official - Last Name:HAYNES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:346-399-8932
Mailing Address - Street 1:9207 COUNTRY CREEK DR STE 111
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-7745
Mailing Address - Country:US
Mailing Address - Phone:713-777-1621
Mailing Address - Fax:713-777-1734
Practice Address - Street 1:9207 COUNTRY CREEK DR STE 111
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-7745
Practice Address - Country:US
Practice Address - Phone:713-777-1621
Practice Address - Fax:713-777-1734
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-11
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty