Organization Active NPI

The Successful Healing Center, PLLC

  • Clinical Social Worker
  • Houston, TX
National Provider Identifier
1174082879
Registry record updated Oct 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
THE SUCCESSFUL HEALING CENTER, PLLC
Practice address
8914 Scenic Green Dr
Houston, TX 77088-8009
Phone
(713) 301-9358
NPI assigned
Mar 13, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2021

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

Authorized official

Name
Kimberly Y Willis, LCSW
Title
Ceo/ Lead Therapist
Phone
(713) 301-9358

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

8914 Scenic Green Dr
Houston, TX 77088-8009

Mailing address

8914 Scenic Green Dr
Houston, TX 77088-8009

National Provider Directory

National Provider Directory
Tax ID family
The Successful Healing Center PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1552435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635379200000",
    "number": "1174082879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8914 SCENIC GREEN DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770888009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8914 SCENIC GREEN DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770888009",
            "telephone_number": "713-301-9358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SUCCESSFUL HEALING CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-13",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "CEO/ LEAD THERAPIST",
        "authorized_official_telephone_number": "713-301-9358",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; 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.