Advanced Training Third Coast
Organization Active NPI Addiction (Substance Use Disorder) Counselor · The Woodlands, TX
NPI 1457717142 · NPPES record last updated Jan 11, 2016
Key facts
- NPI
- 1457717142
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 6966 (TX)
- Legal business name
- ADVANCED TRAINING THIRD COAST
- Practice address
- 50 Eagle CT
The Woodlands, TX 77380-3926 - Phone
- (713) 492-4131
- NPI assigned
- Jan 11, 2016
- Organization subpart
- No
Authorized official
- Name
- Marcia Baker, LCDC
- Title
- Owner
- Phone
- (713) 492-4131
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | 6966 | TX | Yes |
Addresses
Primary practice location
50 Eagle CT
The Woodlands, TX 77380-3926
Mailing address
50 Eagle CT
The Woodlands, TX 77380-3926
Phone (713) 492-4131
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 11, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.