Organization
FRIENDSWOOD COUNSELING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTI OTTIS MS, NCC, LPC (CLINICAL THERAPIST)
(479) 200-6034
Entity
Organization
Contact information
Practice address
3526 E FM 528 RD, SUITE 208, FRIENDSWOOD, TX 77546-5014
(479) 200-6034
(281) 819-7845
Mailing address
3526 E FM 528 RD, SUITE 208, FRIENDSWOOD, TX 77546-5014
(479) 200-6034
(281) 819-7845
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
66163
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TPI-216419601
—
TX
Enumeration date
10/15/2012
Last updated
10/15/2012
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