Provider Demographics
NPI:1730771882
Name:BRAND NEW YOU COUNSELING CENTER, LLC
Entity type:Organization
Organization Name:BRAND NEW YOU COUNSELING CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:HEAD
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:936-202-0596
Mailing Address - Street 1:5452 HIGHWAY 105 W STE 103
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77304-1403
Mailing Address - Country:US
Mailing Address - Phone:936-520-9124
Mailing Address - Fax:936-666-2291
Practice Address - Street 1:5452 HIGHWAY 105 W STE 103
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77304-1403
Practice Address - Country:US
Practice Address - Phone:936-520-9124
Practice Address - Fax:936-666-2291
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-10
Last Update Date:2021-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health