| NPI | 1144691239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY GARDNER-NELSON Proprietor 281-481-1774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: TX 06143) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 5737) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 5737) | |
| 101YM0800X Counselor, Mental Health (Licence: TX 06143, 5737) | |
| Enumeration Date | 2015-10-14 |
| Last Update Date | 2015-10-14 |