Organization Active NPI

Inner and Outer Glow, PLLC

  • Mental Health Counselor
  • Houston, TX
National Provider Identifier
1568187730
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
INNER AND OUTER GLOW, PLLC
Practice address
701 N Post Oak Rd Ste 145
Houston, TX 77024-3923
Phone
(713) 364-6275
NPI assigned
Oct 10, 2022
Last updated
Apr 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Authorized official

Name
Ms. K'Breaun Watkins, LCSW
Title
Clinical Director
Phone
(281) 862-8792

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

701 N Post Oak Rd Ste 145
Houston, TX 77024-3923

Mailing address

701 N Post Oak Rd Ste 145
Houston, TX 77024-3923
Phone (713) 364-6275

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712016000000",
    "number": "1568187730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 N POST OAK RD STE 145",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770243923",
            "telephone_number": "713-364-6275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N POST OAK RD STE 145",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770243923",
            "telephone_number": "713-364-6275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER AND OUTER GLOW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-10",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "K'BREAUN",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "281-862-8792",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "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 Apr 2, 2024; 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.