Cgluz Kidz

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

TX19312 Issued in TX

Legal business name

CGLUZ KIDZ

Practice address

14150 Wunderlich Dr
1405
Houston, TX 77069-3563

Phone

(877) 754-7010

Fax

(866) 486-3295

NPI assigned

Sep 16, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Melissa Earl

Title

Professional Counselor

Phone

(877) 754-7010

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1284595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284595200000",
    "number": "1962710590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14150 WUNDERLICH DR",
            "address_2": "1405",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770693563",
            "telephone_number": "877-754-7010",
            "fax_number": "866-486-3295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14150 WUNDERLICH DR",
            "address_2": "1405",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770693563",
            "telephone_number": "877-754-7010",
            "fax_number": "866-486-3295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CGLUZ KIDZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-16",
        "last_updated": "2010-09-16",
        "status": "A",
        "authorized_official_last_name": "EARL",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "877-754-7010",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "TX19312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CAQH",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Houston, TX
• Providers in Houston, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2010; 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.