Provost Psychotherapy
Counselor (Professional)

Address: 1300 Bay Area Blvd Ste B150-28, Houston, TX 77058-2505
Phone: 3256039322

Provost Psychotherapy (NPI# 1134729106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1134729106
Entity Type Organization
Practice Address 1300 Bay Area Blvd Ste B150-28
TX 77058-2505
Practice Telephone 3256039322
Mailing Address 1300 Bay Area Blvd Ste B150-28
TX 77058-2505
Mailing Telephone 3256039322
Authorized Official Name Elizabeth Erin Provost (CLINICAL DIRECTOR)
Authorized Official Telephone 7133021348
Authorized Official Credential LPC
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2020-10-29
Last Update Date 2020-10-29

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 101YP2500X Counselor · Professional Behavioral Health & Social Service Providers

Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

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Office Location

Street Address 1300 BAY AREA BLVD STE B150-28
State TX
Zip Code 77058-2505

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699248807 Jolly Joseph Nurse Practitioner 18300, Houston Methodist, Houston, TX 77058 2019-01-10
1700372992 Jasmin Elise Auzenne Audiologist 17625 El Camino Real Ste 155, Houston, TX 77058 2018-07-10
1053801225 Dialyspa Vii LLC Clinic/Center 1411 Bonner St., Houston, TX 77058 2018-05-14
1699263285 Pneucare, LLC Durable Medical Equipment & Medical Supplies 1322 Space Park Dr Ste C120, Houston, TX 77058 2018-04-29
1972005189 Limy Fernandus Nurse Practitioner 985 E Nasa Pkwy, Houston, TX 77058 2018-03-03
1033623616 Sigi Paul Nurse Practitioner 1210 El Camino Village Dr., Houston, TX 77058 2017-11-19
1881107845 Jennifer Elise Hobson Counselor 1322 Space Park Dr Ste B123, Houston, TX 77058 2017-11-13
1174035778 Agrarian Wellness, LLC Registered Nurse 17000 El Camino Real Ste 209, Houston, TX 77058 2017-11-04
1013468073 Cynthia Bandemer Counselor 17300 El Camino Real Ste 107d, Houston, TX 77058 2016-10-14
1043698533 Hopewell Home Healthcare LLC Nursing Care 18090 Kings Row, Houston, TX 77058 2015-05-15
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Zip Code 77058

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.