Provider Demographics
NPI:1124742374
Name:YSP: YOUR SAFE PLACE COUNSELING & CONSULTING PLLC
Entity type:Organization
Organization Name:YSP: YOUR SAFE PLACE COUNSELING & CONSULTING PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:THERAPIST/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:DALESHIA
Authorized Official - Middle Name:LASHA
Authorized Official - Last Name:HULETT
Authorized Official - Suffix:
Authorized Official - Credentials:LPC LCDC
Authorized Official - Phone:713-818-5793
Mailing Address - Street 1:4215 MONTICELLO TER LN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-1880
Mailing Address - Country:US
Mailing Address - Phone:713-818-5793
Mailing Address - Fax:
Practice Address - Street 1:4215 MONTICELLO TER LN
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-1880
Practice Address - Country:US
Practice Address - Phone:713-818-5793
Practice Address - Fax:713-383-6416
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-30
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty