Provider Demographics
NPI:1316498314
Name:CYPRESSWOOD CHRISTIAN COUNSELING PLLC
Entity type:Organization
Organization Name:CYPRESSWOOD CHRISTIAN COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SANDY
Authorized Official - Middle Name:M
Authorized Official - Last Name:BOND
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:207-329-7451
Mailing Address - Street 1:9950 CYPRESSWOOD DR
Mailing Address - Street 2:SUITE 355
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-3414
Mailing Address - Country:US
Mailing Address - Phone:832-493-6965
Mailing Address - Fax:
Practice Address - Street 1:9950 CYPRESSWOOD DR
Practice Address - Street 2:SUITE 355
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-3414
Practice Address - Country:US
Practice Address - Phone:832-493-6965
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-14
Last Update Date:2016-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX68139101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty