Provider Demographics
NPI:1467864926
Name:CHARLES WESSEL
Entity type:Organization
Organization Name:CHARLES WESSEL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:WESSEL
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:713-600-9500
Mailing Address - Street 1:2111 HOLLY HALL ST APT 1210
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-3959
Mailing Address - Country:US
Mailing Address - Phone:713-600-9500
Mailing Address - Fax:
Practice Address - Street 1:2111 HOLLY HALL ST APT 1210
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-3959
Practice Address - Country:US
Practice Address - Phone:713-600-9500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-02
Last Update Date:2016-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX69341251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health