Provider Demographics
NPI:1902552920
Name:HSIAO, ALICE YJ (SPIRITUAL COUNSELOR)
Entity Type:Individual
Prefix:
First Name:ALICE
Middle Name:YJ
Last Name:HSIAO
Suffix:
Gender:F
Credentials:SPIRITUAL COUNSELOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10707 CORPORATE DR STE 151
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477-4092
Mailing Address - Country:US
Mailing Address - Phone:346-309-2046
Mailing Address - Fax:
Practice Address - Street 1:10707 CORPORATE DR STE 151
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-4092
Practice Address - Country:US
Practice Address - Phone:346-309-2046
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-28
Last Update Date:2022-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional