Provider Demographics
NPI:1912529538
Name:ASPIRE COUNSELING & WELLNESS CENTER, PLLC
Entity Type:Organization
Organization Name:ASPIRE COUNSELING & WELLNESS CENTER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KINDALL
Authorized Official - Middle Name:C
Authorized Official - Last Name:TYSON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:832-548-5723
Mailing Address - Street 1:3323 THORNWOOD WAY
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:77340-8951
Mailing Address - Country:US
Mailing Address - Phone:832-548-5723
Mailing Address - Fax:832-336-3857
Practice Address - Street 1:3323 THORNWOOD WAY
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:TX
Practice Address - Zip Code:77340
Practice Address - Country:US
Practice Address - Phone:832-548-5723
Practice Address - Fax:832-336-3857
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-18
Last Update Date:2022-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health