Regina Carrillo,LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

REGINA CARRILLO,LLC

Practice address

150 W Shadowbend Ave Ste 200
Friendswood, TX 77546-3970

Phone

(281) 235-3010

Fax

(832) 383-3471

NPI assigned

Apr 28, 2011

Organization subpart

No

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

Authorized official

Name

Regina Carrillo, LPC

Title

Owner

Phone

(281) 235-3010

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1303948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399334400000",
    "number": "1386935096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 W SHADOWBEND AVE STE 200",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775463970",
            "telephone_number": "281-235-3010",
            "fax_number": "832-383-3471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W SHADOWBEND AVE STE 200",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775463970",
            "telephone_number": "281-235-3010",
            "fax_number": "832-383-3471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGINA CARRILLO,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-28",
        "last_updated": "2014-05-06",
        "status": "A",
        "authorized_official_last_name": "CARRILLO",
        "authorized_official_first_name": "REGINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-235-3010",
        "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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• Professional Counselor in Friendswood, TX
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• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2014; 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.