Provost Psychotherapy

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

PROVOST PSYCHOTHERAPY

Practice address

1300 Bay Area Blvd Ste B150-28
Houston, TX 77058-2505

Phone

(325) 603-9322

NPI assigned

Oct 29, 2020

Organization subpart

No

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

Authorized official

Name

Elizabeth Erin Provost, LPC

Title

Clinical Director

Phone

(713) 302-1348

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1603929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603929600000",
    "number": "1134729106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 BAY AREA BLVD STE B150-28",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582505",
            "telephone_number": "325-603-9322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 BAY AREA BLVD STE B150-28",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582505",
            "telephone_number": "325-603-9322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVOST PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-29",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A",
        "authorized_official_last_name": "PROVOST",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ERIN",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "713-302-1348",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Provisions Health Solutions LLC
• Brandon Provost
• Elizabeth Erin Provost, MS, LPC-SUPERVISOR
• Tatiyana Provost, NP
• Proxima Diagnostics & Laboratory LLC
• Prucare Pharmacy

• 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 Oct 29, 2020; 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.