Provider Demographics
NPI:1669704516
Name:H.O.P.E. PSYCHOTHERAPY OF HOUSTON, PLLC
Entity type:Organization
Organization Name:H.O.P.E. PSYCHOTHERAPY OF HOUSTON, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:DIANN
Authorized Official - Last Name:EDMUNDS
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC-S
Authorized Official - Phone:281-373-5200
Mailing Address - Street 1:17510 HUFFMEISTER RD
Mailing Address - Street 2:103
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-6785
Mailing Address - Country:US
Mailing Address - Phone:281-373-5200
Mailing Address - Fax:281-373-5202
Practice Address - Street 1:17510 HUFFMEISTER RD
Practice Address - Street 2:103
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-6785
Practice Address - Country:US
Practice Address - Phone:281-373-5200
Practice Address - Fax:281-373-5202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-03
Last Update Date:2010-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16682101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0287013-02Medicaid