Organization · NPI-2

Cp Therapy

Counselor · Conroe, TX

NPI number1366921371

StatusActive

Last updated in NPPESJun 8, 2023

Details

NPI: 1366921371
Entity type: Organization (NPI-2)
Legal business name: Cp Therapy
Organization subpart: No
Enumeration date: Aug 9, 2018
Certification date: Jun 8, 2023
Last updated: Jun 8, 2023

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
101Y00000X	Counselor	–	–	Yes
251B00000X	Case Management	–	–
251S00000X	Community/Behavioral Health	–	–
261QM0801X	Clinic/Center, Mental Health (Including Community Mental Health Center)	–	–
101YP2500X	Counselor, Professional	–	–
261QM0850X	Clinic/Center, Adult Mental Health	–	–
261QM0855X	Clinic/Center, Adolescent and Children Mental Health	–	–

Practice location

535 Springwood Dr
Conroe, TX 77385-9513

Phone 281-254-3758

Mailing address

535 Springwood Dr
Conroe, TX 77385-9513

Authorized official

Courtney Prudhomme
Therapist
2812543758

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