Provider Demographics
NPI:1144720889
Name:HOUSTON PSYCHOTHERAPY CONSULTANTS, PLLC
Entity type:Organization
Organization Name:HOUSTON PSYCHOTHERAPY CONSULTANTS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TAMARA
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:PENA
Authorized Official - Suffix:
Authorized Official - Credentials:LCDC, LPC-S, NCC
Authorized Official - Phone:832-203-5987
Mailing Address - Street 1:2616 S LOOP W STE 465
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-2646
Mailing Address - Country:US
Mailing Address - Phone:832-203-5987
Mailing Address - Fax:823-203-4086
Practice Address - Street 1:2616 S LOOP W STE 465
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2646
Practice Address - Country:US
Practice Address - Phone:832-203-5987
Practice Address - Fax:823-203-4086
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-20
Last Update Date:2020-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation CounselorGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty