# INTERFACE-SAMARITAN COUNSELING CENTERS

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

## Provider details

- **NPI number:** 1245454768
- **Authorized official:** DR. SUSAN ARNOLD LANGE PH.D. (PSYCHOLOGIST, CLINICAL DIRECTOR)
- **Authorized official phone:** (713) 626-7990

## Contact information

- **Practice address:** 4803 SAN FELIPE ST, HOUSTON, TX 77056-3907
- **Practice address phone:** (713) 626-7990
- **Practice address fax:** (713) 627-7715
- **Mailing address:** 4803 SAN FELIPE ST, HOUSTON, TX 77056-3907
- **Mailing address phone:** (713) 626-7990
- **Mailing address fax:** (713) 627-7715

## Taxonomy

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

## Other

- **Enumeration date:** 04/13/2007
- **Last updated:** 08/22/2020