Provider Demographics
NPI:1255606711
Name:CORE COMMUNITY CARE, PLLC
Entity type:Organization
Organization Name:CORE COMMUNITY CARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PSYCHOTHERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:CARMEL
Authorized Official - Middle Name:
Authorized Official - Last Name:O'REARDON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:832-533-1531
Mailing Address - Street 1:2828 BAMMEL LN
Mailing Address - Street 2:#1000
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77098-1148
Mailing Address - Country:US
Mailing Address - Phone:832-533-1531
Mailing Address - Fax:281-742-2573
Practice Address - Street 1:2616 S LOOP W
Practice Address - Street 2:SUITE 585
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2662
Practice Address - Country:US
Practice Address - Phone:832-533-1531
Practice Address - Fax:281-742-2573
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-16
Last Update Date:2012-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management