Organization
CAROLE AND RONALD KRIST SAMARITAN COUNSELING CENTER
Active
Organization
CAROLE AND RONALD KRIST SAMARITAN COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LESSLEY LOMBARDO (OFFICE MANAGER)
(281) 480-7554
Entity
Organization
Contact information
Practice address
16441 SPACE CENTER BLVD # C-100, HOUSTON, TX 77058-2015
(281) 480-7554
(281) 480-4193
Mailing address
16441 SPACE CENTER BLVD # C-100, HOUSTON, TX 77058-2015
(281) 480-7554
(281) 480-4641
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TC1900X
Counseling Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039DG
BCBS GROUP ID #
TX
01
—
152297
VALUE OPTIONS GROUP #
TX
05
—
363832201
—
TX
Enumeration date
07/15/2006
Last updated
02/05/2024
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