Provider Demographics
NPI:1992351548
Name:HOUSTON COUNSELING AFFILIATES, PLLC
Entity type:Organization
Organization Name:HOUSTON COUNSELING AFFILIATES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBISON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-S
Authorized Official - Phone:832-806-1119
Mailing Address - Street 1:8315 SILVER SHADOWS LN
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-3929
Mailing Address - Country:US
Mailing Address - Phone:832-806-1119
Mailing Address - Fax:
Practice Address - Street 1:525 N SAM HOUSTON PKWY E STE 255
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77060-4017
Practice Address - Country:US
Practice Address - Phone:713-896-6990
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-09
Last Update Date:2019-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No251B00000XAgenciesCase Management