Passionate Life Therapeutic Alliance, PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

PASSIONATE LIFE THERAPEUTIC ALLIANCE, PLLC

Practice address

7676 Hillmont St Ste 344-04
Houston, TX 77040-6400

Phone

(832) 224-5092

NPI assigned

Feb 14, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lacy Isenburg, LPCNPI 1750914206

Title

Authorized Official

Phone

(832) 224-5092

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lacy Lynn Isenburg, MA

  • Professional Counselor
  • Houston, TX
  • NPI 1750914206
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1676332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689033600000",
    "number": "1003513649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7676 HILLMONT ST STE 344-04",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770406400",
            "telephone_number": "832-224-5092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7676 HILLMONT ST STE 344-04",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770406400",
            "telephone_number": "832-224-5092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASSIONATE LIFE THERAPEUTIC ALLIANCE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-14",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A",
        "authorized_official_last_name": "ISENBURG",
        "authorized_official_first_name": "LACY",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "832-224-5092",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC LICENSE",
            "identifier": "79539",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Passaretti, PT DPT
• Joel Zachary Passer, M.D.
• Passion Group Home
• Passionate Care Texas LLC
• Passionate Hospice, LLC
• Passionate Path Counseling, PLLC
• Jesse Stephen Passler, PH.D.
• Joan Marie Passley, CRNA
• Sherri L Passmore, NBC-HWC
• Niccolo Maria Passoni, M.D.

• Professional Counselor in Houston, TX
• Providers in Houston, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.