Organization
INITIATIVE FOR CHANGE & DEVELOPMENT COUNSELING SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALAN ROY BLACKSHEAR LCDC, CART, COPSD (DIRECTOR)
(713) 714-8539
Entity
Organization
Contact information
Practice address
1300 MCGOWEN ST, HOUSTON, TX 77004-1141
(713) 714-8538
(713) 714-8841
Mailing address
1300 MCGOWEN ST, HOUSTON, TX 77004-1141
(713) 714-8538
(713) 714-8841
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
11387
TX
Other
Enumeration date
10/31/2014
Last updated
10/31/2014
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