Provider Demographics
NPI:1144519893
Name:NATIONAL COUNSELING CENTER
Entity type:Organization
Organization Name:NATIONAL COUNSELING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:EMILIO
Authorized Official - Middle Name:
Authorized Official - Last Name:JIMENEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MA LPC
Authorized Official - Phone:713-502-2974
Mailing Address - Street 1:18123 TIMBER CROSSING LN
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-1520
Mailing Address - Country:US
Mailing Address - Phone:713-502-2974
Mailing Address - Fax:
Practice Address - Street 1:10001 WESTHEIMER RD
Practice Address - Street 2:SUITE 2115
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042-3151
Practice Address - Country:US
Practice Address - Phone:713-581-1008
Practice Address - Fax:713-782-0515
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-04
Last Update Date:2011-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX65570101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty