CORONADO COUNSELING CENTER- CLEAR LAKE (NPI# 1861963001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861963001 |
| Entity Type | Organization |
| Organization Name | CORONADO COUNSELING CENTER- CLEAR LAKE |
| Practice Address |
1115 Gemini St Ste 200 Houston TX 77058-2707 |
| Practice Telephone | 2814616220 |
| Practice Fax Number | 8335939064 |
| Mailing Telephone | 2814616220 |
| Mailing Fax Number | 8335939064 |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2019-01-23 |
| Authorized Official Name | DR. CYNTHIA LEE CORONADO (OWNER) |
| Authorized Official Telephone | 2815121976 |
| Authorized Official Credential | ED.D, CAS, LPC-S |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | NPI | 1447654595 | 01 |
| Street Address |
1115 GEMINI ST STE 200 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77058-2707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447654595 | Cynthia Lee Coronado | Counselor | 1115 Gemini St Ste 200, Houston, TX 77058-2707 | 2014-10-17 |
| 1730662495 | Sana Manzoor Ali | Counselor | 1115 Gemini St Ste 200, Houston, TX 77058-2707 | 2018-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699248807 | Jolly Joseph | Nurse Practitioner | 18300, Houston Methodist, Houston, TX 77058 | 2019-01-10 |
| 1700372992 | Jasmin Elise Auzenne | Audiologist | 17625 El Camino Real Ste 155, Houston, TX 77058 | 2018-07-10 |
| 1053801225 | Dialyspa Vii LLC | Clinic/Center | 1411 Bonner St., Houston, TX 77058 | 2018-05-14 |
| 1699263285 | Pneucare, LLC | Durable Medical Equipment & Medical Supplies | 1322 Space Park Dr Ste C120, Houston, TX 77058 | 2018-04-29 |
| 1972005189 | Limy Fernandus | Nurse Practitioner | 985 E Nasa Pkwy, Houston, TX 77058 | 2018-03-03 |
| 1033623616 | Sigi Paul | Nurse Practitioner | 1210 El Camino Village Dr., Houston, TX 77058 | 2017-11-19 |
| 1881107845 | Jennifer Elise Hobson | Counselor | 1322 Space Park Dr Ste B123, Houston, TX 77058 | 2017-11-13 |
| 1174035778 | Agrarian Wellness, LLC | Registered Nurse | 17000 El Camino Real Ste 209, Houston, TX 77058 | 2017-11-04 |
| 1013468073 | Cynthia Bandemer | Counselor | 17300 El Camino Real Ste 107d, Houston, TX 77058 | 2016-10-14 |
| 1043698533 | Hopewell Home Healthcare LLC | Nursing Care | 18090 Kings Row, Houston, TX 77058 | 2015-05-15 |
| Find all providers in zip 77058 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013589 | Infinite Beings Treatment Center LLC | Counselor | 4201 Cypress Creek Pkwy Ste 250, Houston, TX 77068-3412 | 2020-11-02 |
| 1134729106 | Provost Psychotherapy | Counselor | 1300 Bay Area Blvd Ste B150-28, Houston, TX 77058-2505 | 2020-10-29 |
| 1720687361 | Tina H Glenn | Counselor | 3126 Greenbriar Springs Dr, Houston, TX 77073-6110 | 2020-10-24 |
| 1831798776 | Kimberly R Taylor | Counselor | 11646 Greensbrook Garden Dr, Houston, TX 77044-7212 | 2020-10-21 |
| 1861091142 | Mary Anne Donovan | Counselor | 2401 Swift Blvd, Houston, TX 77030-1805 | 2020-10-19 |
| 1487251682 | Amanda Jane Zimmerman | Counselor | 9850 Richmond Ave Apt 5102, Houston, TX 77042-4578 | 2020-10-01 |
| 1902413289 | Christopher John Hill | Counselor | 9401 Southwest Fwy Fl 3, Houston, TX 77074-1407 | 2020-09-30 |
| 1417564766 | Courtney Miller | Counselor | 8877 Lakes At 610 Dr Apt 431, Houston, TX 77054-2586 | 2020-09-29 |
| 1730795923 | Catrina M Scott | Counselor | 7676 Hillmont St Ste 120, Houston, TX 77040-6468 | 2020-09-22 |
| 1619583259 | Angela Morgan | Counselor | 2626 S Loop W Ste 310, Houston, TX 77054-2645 | 2020-09-18 |
| Find all providers in HOUSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.