Provider Demographics
NPI:1679290639
Name:NEW STRIDES COUNSELING CENTER PLLC
Entity type:Organization
Organization Name:NEW STRIDES COUNSELING CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SYLVIAN
Authorized Official - Middle Name:ANALYN
Authorized Official - Last Name:WOODWORTH
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:281-296-3158
Mailing Address - Street 1:PO BOX 1776
Mailing Address - Street 2:
Mailing Address - City:SPLENDORA
Mailing Address - State:TX
Mailing Address - Zip Code:77372-1776
Mailing Address - Country:US
Mailing Address - Phone:281-296-3158
Mailing Address - Fax:
Practice Address - Street 1:23010 GABRIEL STE 205
Practice Address - Street 2:
Practice Address - City:NEW CANEY
Practice Address - State:TX
Practice Address - Zip Code:77357-4165
Practice Address - Country:US
Practice Address - Phone:281-296-3158
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-20
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty