Cool Water Case Management LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

25240 Issued in TX

Legal business name

COOL WATER CASE MANAGEMENT LLC

Practice address

100 W Central Texas Expy
Suite 303
Harker Heights, TX 76548-2079

Phone

(512) 963-2236

Fax

(512) 943-0151

NPI assigned

Dec 11, 2015

Organization subpart

No

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

Authorized official

Name

Brenda B Fry, LCSW

Title

Owner

Phone

(512) 963-2236

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1449792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453420800000",
    "number": "1679948947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W CENTRAL TEXAS EXPY",
            "address_2": "SUITE 303",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765482079",
            "telephone_number": "512-963-2236",
            "fax_number": "512-943-0151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W CENTRAL TEXAS EXPY",
            "address_2": "SUITE 303",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765482079",
            "telephone_number": "512-963-2236",
            "fax_number": "512-943-0151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOL WATER CASE MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-11",
        "last_updated": "2016-01-22",
        "status": "A",
        "authorized_official_last_name": "FRY",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-963-2236",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "TX",
            "license": "25240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2016; 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.