Organization
CP THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY PRUDHOMME LPC (THERAPIST)
(281) 254-3758
Entity
Organization
Contact information
Practice address
535 SPRINGWOOD DR, CONROE, TX 77385-9513
(281) 254-3758
Mailing address
535 SPRINGWOOD DR, CONROE, TX 77385-9513
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
08/09/2018
Last updated
06/08/2023
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