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Organization
GODDESS AVE.
Active
Organization
GODDESS AVE.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARICA BIBBS M.ED, LPC (CLINICAL PROGRAM DIRECTOR)
(832) 882-4960
Entity
Organization
Contact information
Practice address
10530 CABOT TRL, IOWA COLONY, TX 77583-4285
(832) 882-4960
(832) 882-4960
Mailing address
10530 CABOT TRL, IOWA COLONY, TX 77583-4285
(832) 882-4960
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
08/05/2025
Last updated
08/05/2025
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