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Organization
HAVEN OF THE PHOENIX LLC
Active
Organization
HAVEN OF THE PHOENIX LLC
Active
Other names
Haven of the Phoenix Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE GENTRY LPC, LCDC (OWNER)
(832) 748-7999
Entity
Organization
Contact information
Practice address
3717 PINE VILLAGE CT, SPRING, TX 77386-4509
(832) 748-7999
(832) 536-5549
Mailing address
3717 PINE VILLAGE CT, SPRING, TX 77386-4509
(832) 748-7999
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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