Provider Demographics
NPI:1124679477
Name:AZURITE COUNSELING AND WELLNESS, PLLC
Entity type:Organization
Organization Name:AZURITE COUNSELING AND WELLNESS, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:VIQAR
Authorized Official - Middle Name:
Authorized Official - Last Name:HUSSAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-840-7956
Mailing Address - Street 1:8703 MEADOWCROFT DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-5006
Mailing Address - Country:US
Mailing Address - Phone:713-840-7956
Mailing Address - Fax:713-840-7957
Practice Address - Street 1:8703 MEADOWCROFT DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-5006
Practice Address - Country:US
Practice Address - Phone:713-840-7956
Practice Address - Fax:713-840-7957
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-26
Last Update Date:2021-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1306142237OtherCLINICAL DIRECTOR'S NPI