# DESIDERATA PSYCHOTHERAPY

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

## Provider details

- **NPI number:** 1285005868
- **Authorized official:** MRS. VERONICA MENA FUNKE LCSW (OWNER)
- **Authorized official phone:** (281) 203-1843

## Contact information

- **Practice address:** 17719 BAMWOOD DR, HOUSTON, TX 77090-1852
- **Practice address phone:** (281) 203-1842
- **Practice address fax:** (832) 616-3460
- **Mailing address:** 17719 BAMWOOD DR, HOUSTON, TX 77090-1852
- **Mailing address phone:** (281) 203-1842
- **Mailing address fax:** (832) 616-3460

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 32342 | TX | Yes |

## Other

- **Enumeration date:** 10/08/2015
- **Last updated:** 10/08/2015