Organization · Type 2 NPI
Goddess Ave.
Professional Counselor · Iowa Colony, TX
NPI number
1497639066
Active
Practice location
10530 Cabot Trl
Iowa Colony, TX 77583-4285
Fax (832) 882-4960
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | None listed |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Mental Health Counselor | 101YM0800X | None listed |
| Professional Counselor Primary | 101YP2500X | None listed |
| Adult Mental Health Clinic/Center | 261QM0850X | None listed |
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | None listed |
Professional Counselor: Definition to come...
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About NPI 1497639066
Goddess Ave.'s National Provider Identifier is 1497639066, issued on Aug 5, 2025. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Iowa Colony, TX. The record was last updated on Aug 5, 2025.