Provider Demographics
NPI:1306568217
Name:TRIPLE C LIFE CHANGING ENCOUNTERS
Entity type:Organization
Organization Name:TRIPLE C LIFE CHANGING ENCOUNTERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:ROSA
Authorized Official - Middle Name:
Authorized Official - Last Name:OLIVO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-585-7608
Mailing Address - Street 1:PO BOX 73792
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77273-3792
Mailing Address - Country:US
Mailing Address - Phone:281-687-7053
Mailing Address - Fax:832-617-8347
Practice Address - Street 1:505 N SAM HOUSTON PKWY E STE 303
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77060-4086
Practice Address - Country:US
Practice Address - Phone:281-687-7053
Practice Address - Fax:832-617-8347
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-16
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty