# YOUR THERAPY HOUSTON LLC

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

## Provider details

- **NPI number:** 1447735105
- **Authorized official:** JESSICA MEDINA LMFT-A (OWNER)
- **Authorized official phone:** (832) 407-8364

## Contact information

- **Practice address:** 5900 MEMORIAL DR STE 218, HOUSTON, TX 77007-8008
- **Practice address phone:** (832) 407-8364
- **Mailing address:** 2538 MUNGER ST, HOUSTON, TX 77023-5142
- **Mailing address phone:** (832) 407-8364

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | — | NULL | — |
| 101Y00000X | Counselor | — | — | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 101YS0200X | School Counselor | — | NULL | — |
| 101YS0200X | School Counselor | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 09/28/2018
- **Last updated:** 09/28/2018