Self Evolution Therapy LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

SELF EVOLUTION THERAPY LLC

Practice address

11838 Castle Ridge Dr
Houston, TX 77077-2611

Phone

(713) 449-3339

NPI assigned

Jan 30, 2025

Organization subpart

No

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

Authorized official

Name

Ms. Yolisma Garibay, LPCNPI 1164237947

Title

President

Phone

(713) 449-3339

Specialties & licenses 1

Addresses

Practitioners 1

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

• Yolisma Garibay, LPC

  • Professional Counselor
  • Houston, TX
  • NPI 1164237947
  NPD Authorized official

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

{
    "created_epoch": "1738195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738195200000",
    "number": "1063225258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11838 CASTLE RIDGE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770772611",
            "telephone_number": "713-449-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11838 CASTLE RIDGE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770772611",
            "telephone_number": "713-449-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELF EVOLUTION THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-30",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A",
        "authorized_official_last_name": "GARIBAY",
        "authorized_official_first_name": "YOLISMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-449-3339",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mariella Self, PH.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 Jan 30, 2025; 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.