# AHAVA WELLNESS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124580295
- **Authorized official:** MICHELLE LANGLEY LPC (FOUNDER/THERAPIST)
- **Authorized official phone:** (832) 463-9059

## Contact information

- **Practice address:** 135 OYSTER CREEK DR STE I, LAKE JACKSON, TX 77566-4118
- **Practice address phone:** (832) 463-9059
- **Mailing address:** 416 HUCKLEBERRY DR, LAKE JACKSON, TX 77566-4319
- **Mailing address phone:** (832) 463-9059

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 04/05/2019
- **Last updated:** 06/11/2019