Co-Created Spaces: Therapy, Supervision, and Consultation, PLLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

CO-CREATED SPACES: THERAPY, SUPERVISION, AND CONSULTATION, PLLC

Practice address

3707 Graustark St Apt 4
Houston, TX 77006-4243

Phone

(713) 364-3340

NPI assigned

Apr 5, 2023

Organization subpart

No

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

Authorized official

Name

Adriana E. Gil-Wilkerson, PH.D., LMFT SUPERVIS

Title

Manager Clinician

Phone

(713) 364-3340

Specialties & licenses 1

Addresses

Other names 1

• Co-Created Spaces Other name

Practitioners 1

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

• Adriana E Gil Wilkerson, MS, LMFT & SUPERVISO

  • Marriage & Family Therapist
  • Houston, TX
  • NPI 1598158115
  NPD

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

{
    "created_epoch": "1680652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680652800000",
    "number": "1841995073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12918 COOPERS HAWK DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770444400",
            "telephone_number": "713-364-3340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3707 GRAUSTARK ST APT 4",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770064243",
            "telephone_number": "713-364-3340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CO-CREATED SPACES: THERAPY, SUPERVISION, AND CONSULTATION, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-05",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A",
        "authorized_official_last_name": "GIL-WILKERSON",
        "authorized_official_first_name": "ADRIANA",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "MANAGER CLINICIAN",
        "authorized_official_telephone_number": "713-364-3340",
        "authorized_official_credential": "PH.D., LMFT SUPERVIS"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Co-Created Spaces",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Marriage & Family Therapist in Houston, TX
• Providers in Houston, TX by specialty
• Marriage & Family Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; 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.