Organization Active NPI

Terry Servance PLLC

  • Professional Counselor
  • Sugar Land, TX
National Provider Identifier
1194843425
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
TERRY SERVANCE PLLC
Practice address
11455 Ashford Willow
Sugar Land, TX 77478-6169
Phone
(281) 565-3067
Fax
(281) 565-3067
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Terry Azzouz, LPC, LSOTPNPI 1477689610
Title
Director
Phone
(281) 565-3067

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

11455 Ashford Willow
Sugar Land, TX 77478-6169

Mailing address

11455 Ashford Willow
Sugar Land, TX 77478-6169
Phone (281) 565-3067

Other names 1

  • Project KIDS Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194843425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11455 ASHFORD WILLOW",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774786169",
            "telephone_number": "281-565-3067",
            "fax_number": "281-565-3067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11455 ASHFORD WILLOW",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774786169",
            "telephone_number": "281-565-3067",
            "fax_number": "281-565-3067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRY SERVANCE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AZZOUZ",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "281-565-3067",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC, LSOTP"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Project KIDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.