| Provider / Organization | NPI | Date Certified |
|---|---|---|
| VIENNA CORNELL | 1356959696 | 2020-07-22 |
Vienna Cornell is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1356959696. Registration indicates Vienna Cornell is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor: Professional, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Professional, Behavioral Health & Social Service Providers) (Counselor, )
| Entity Type | Individual |
| Provider Name | Vienna Cornell |
| Other Provider Name | Vienna Pae |
| Practice Office Address | 2500 CITYWEST BLVD STE 150-140 HOUSTON, TX US |
| Practice Office Telephone | 7138429510 |
| Mailing Address | 2500 CITYWEST BLVD STE 150-140 HOUSTON, TX 770423000 US |
| Address | City / State | Phone / Fax |
|---|---|---|
| 955 Dairy Ashford Rd Ste 106 | Houston, TX 770795307 | 7138429510 |
| Code | Practice | License No State |
|---|---|---|
| 101YP2500X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Professional Behavioral Health/Substance Abuse/Psychiatry Counselor Professional Behavioral Health & Social Service Providers Counselor |