# EXPERIENCE LIFE COUNSELING SERVICES, PLLC

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

## Provider details

- **NPI number:** 1215557681
- **Authorized official:** CECILY DAWSON LPC (THERAPIST/OWNER)
- **Authorized official phone:** (281) 849-4402

## Contact information

- **Practice address:** 1408B STONEHOLLOW DR STE 600, KINGWOOD, TX 77339-2277
- **Practice address phone:** (281) 849-4402
- **Mailing address:** 1408B STONEHOLLOW DR STE 600, KINGWOOD, TX 77339-2277
- **Mailing address phone:** (281) 849-4402

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |

## Other

- **Enumeration date:** 04/25/2020
- **Last updated:** 08/01/2022