Provider Demographics
NPI:1467836262
Name:DESOBE COUNSELING & CONSULTATION PLLC
Entity type:Organization
Organization Name:DESOBE COUNSELING & CONSULTATION PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:L
Authorized Official - Last Name:DESOBE
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC, LMFT
Authorized Official - Phone:713-459-7332
Mailing Address - Street 1:4306 YOAKUM BLVD
Mailing Address - Street 2:SUITE 565
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77006-5851
Mailing Address - Country:US
Mailing Address - Phone:713-459-7332
Mailing Address - Fax:
Practice Address - Street 1:4306 YOAKUM BLVD
Practice Address - Street 2:SUITE 565
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77006-5851
Practice Address - Country:US
Practice Address - Phone:713-459-7332
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-13
Last Update Date:2015-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX23403103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty