Provider Demographics
NPI:1154299907
Name:DOVE EYES SUBSTANCE ABUSE COUNSELING & MENTAL HEALTH SERVICES
Entity type:Organization
Organization Name:DOVE EYES SUBSTANCE ABUSE COUNSELING & MENTAL HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:YOLANDA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:GREEN
Authorized Official - Suffix:
Authorized Official - Credentials:LCDC, QMHP
Authorized Official - Phone:281-202-5736
Mailing Address - Street 1:4902 FAIRCREST ST
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77505-3704
Mailing Address - Country:US
Mailing Address - Phone:346-297-6540
Mailing Address - Fax:
Practice Address - Street 1:4902 FAIRCREST ST
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77505-3704
Practice Address - Country:US
Practice Address - Phone:346-297-6540
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-24
Last Update Date:2025-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty