Organization
GARDNER HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEVERLY GARDNER-NELSON LMSW-AP, LCDC (PROPRIETOR)
(281) 481-1774
Entity
Organization
Contact information
Practice address
9000 FREY RD, HOUSTON, TX 77034-3506
(281) 481-1774
(281) 464-8683
Mailing address
11717 BEAMER RD, #245, HOUSTON, TX 77089
(281) 481-1774
(281) 464-8683
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
5737
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
5737
TX
101YM0800X
Mental Health Counselor
06143, 5737
TX
104100000X
Social Worker
Primary
06143
TX
Other
Enumeration date
10/14/2015
Last updated
10/14/2015
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