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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