Provider Demographics
NPI:1699451369
Name:COUNSELING, PSYCHOTHERAPY, AND POSITIVE PSYCHOLOGY WELLNESS CENTER
Entity type:Organization
Organization Name:COUNSELING, PSYCHOTHERAPY, AND POSITIVE PSYCHOLOGY WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ORLANDO
Authorized Official - Middle Name:
Authorized Official - Last Name:CALDERON-VEGA
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:346-300-2800
Mailing Address - Street 1:16515 BRIGHTLING LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090-3813
Mailing Address - Country:US
Mailing Address - Phone:346-300-2800
Mailing Address - Fax:
Practice Address - Street 1:16515 BRIGHTLING LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-3813
Practice Address - Country:US
Practice Address - Phone:346-300-2800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-26
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty