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Organization
IMPACT COUNSELING AND WELLNESS, LLC
Active
Organization
IMPACT COUNSELING AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOLLY LEE-MCCAIN LPC-S (CEO)
(713) 294-2439
Entity
Organization
Contact information
Practice address
3531 DE SOTO ST, HOUSTON, TX 77091-3719
(713) 294-2439
Mailing address
3531 DE SOTO ST, HOUSTON, TX 77091-3719
(713) 294-2439
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
17269
TX
1041C0700X
Clinical Social Worker
—
—
251B00000X
Case Management Agency
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
361402603
—
TX
05
—
361402604
—
TX
05
—
361402605
—
TX
Enumeration date
05/26/2016
Last updated
08/27/2025
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