Organization
REACHING OUT 2 YOUTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAMELA ARCHBALD (DIRECTOR)
(832) 721-1554
Entity
Organization
Contact information
Practice address
6701 CULLEN BLVD, HOUSTON, TX 77021-5005
(832) 721-1554
(832) 415-0118
Mailing address
6701 CULLEN BLVD, HOUSTON, TX 77021-5005
(832) 721-1554
(832) 415-0118
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
102L00000X
Psychoanalyst
—
—
103G00000X
Clinical Neuropsychologist
—
—
103K00000X
Behavior Analyst
—
—
103T00000X
Psychologist
Primary
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TF0000X
Family Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
103TS0200X
School Psychologist
—
—
Other
Enumeration date
04/13/2010
Last updated
06/30/2010
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