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Organization
PETTIS COUNSELING, PLLC
Active
Organization
PETTIS COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINDA PETTIS ELLIS (MANAGER)
(281) 222-6714
Entity
Organization
Contact information
Practice address
505 N SAM HOUSTON PKWY E, SUITE 154, HOUSTON, TX 77060-4018
(281) 222-6714
(832) 777-6031
Mailing address
505 N SAM HOUSTON PKWY E, SUITE 154, HOUSTON, TX 77060-4018
(281) 222-6714
(832) 777-6031
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
TX
101YM0800X
Mental Health Counselor
—
TX
101YP2500X
Professional Counselor
Primary
—
TX
101YS0200X
School Counselor
—
TX
103TB0200X
Cognitive & Behavioral Psychologist
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127584803
—
TX
Enumeration date
06/09/2016
Last updated
06/09/2016
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