The Other Side Treatment Center, PLLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

THE OTHER SIDE TREATMENT CENTER, PLLC

Practice address

3619 Paesanos Pkwy
Shavano Park, TX 78231-1253

Phone

(888) 509-2306

NPI assigned

Sep 27, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ellen Duncan, MD

Title

Managing Member

Phone

(888) 509-2306

Specialties & licenses 3

Addresses

Tax ID family

Other Side of Treatment PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Other Side of Treatment, PLLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Shavano Park, TX
  • NPI 1245762681
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1506470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1477062032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3619 PAESANOS PKWY",
            "city": "SHAVANO PARK",
            "state": "TX",
            "postal_code": "782311253",
            "telephone_number": "888-509-2306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3619 PAESANOS PKWY",
            "city": "SHAVANO PARK",
            "state": "TX",
            "postal_code": "782311253",
            "telephone_number": "888-509-2306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE OTHER SIDE TREATMENT CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-27",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "888-509-2306",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theodore Snider, MD
• Ruth Soledad Solis, PTA
• John H Stuckey, M.D.
• Gabriela Nicole Suitor
• Texas Star Sleep Apnea and TMJ Center, PLLC
• Joseph P Tiscani, DNP, FNP, NP
• Alfred Gutierrez Tovar, PHARMACIST
• Nhi Alexandra Van, PH.D.
• Aaron Vandewark, PHARM.D.
• Gloria Gail Vaughan, DDS

• Addiction (Substance Use Disorder) Counselor in Shavano Park, TX
• Providers in Shavano Park, TX by specialty
• Addiction (Substance Use Disorder) Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.