Provider Demographics
NPI:1053910349
Name:MINE COUNSELING PLLC
Entity type:Organization
Organization Name:MINE COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:NKEM
Authorized Official - Middle Name:A
Authorized Official - Last Name:CHINWAH
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:218-202-8023
Mailing Address - Street 1:6201 BONHOMME ROAD
Mailing Address - Street 2:SUITE 356N
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036
Mailing Address - Country:US
Mailing Address - Phone:281-202-8023
Mailing Address - Fax:
Practice Address - Street 1:6201 BONHOMME RD STE 360N
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-4424
Practice Address - Country:US
Practice Address - Phone:361-878-8151
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-19
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty