Provider Demographics
NPI:1851574396
Name:CATHOLIC CHARITIES OF THE ARCHDIOCESE OF GALVESTON HOUSTON
Entity type:Organization
Organization Name:CATHOLIC CHARITIES OF THE ARCHDIOCESE OF GALVESTON HOUSTON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:JENIFER
Authorized Official - Middle Name:MITCHELL
Authorized Official - Last Name:SANTOS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-S
Authorized Official - Phone:713-351-6972
Mailing Address - Street 1:2900 LOUISIANA ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77006-3435
Mailing Address - Country:US
Mailing Address - Phone:713-526-4611
Mailing Address - Fax:713-526-1546
Practice Address - Street 1:2900 LOUISIANA ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77006-3435
Practice Address - Country:US
Practice Address - Phone:713-526-4611
Practice Address - Fax:713-526-1546
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-06
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty