Fourth Dimension Counseling Services

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

3830-3831 Issued in TX

Legal business name

FOURTH DIMENSION COUNSELING SERVICES

Practice address

2616 S Loop W
Suite 655
Houston, TX 77054-2662

Phone

(832) 581-2970

NPI assigned

Feb 26, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Carl Michael Poole, LCDC

Title

Ceo

Phone

(832) 581-2970

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1424908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424908800000",
    "number": "1891187910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2616 S LOOP W",
            "address_2": "SUITE 655",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542662",
            "telephone_number": "832-581-2970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2616 S LOOP W",
            "address_2": "SUITE 655",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542662",
            "telephone_number": "832-581-2970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOURTH DIMENSION COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-26",
        "last_updated": "2015-02-26",
        "status": "A",
        "authorized_official_last_name": "POOLE",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "832-581-2970",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCDC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "3830-3831",
            "primary": true
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "TX",
            "license": "3830-3831",
            "primary": false
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "TX",
            "license": "3830-3831",
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "TX",
            "license": "3830-3831",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ethan Fournier
• Isabelle Fournier, MD
• Keith Francis Fournier, M.D.
• Maxime Fournier, DDS
• Rene Fournier, DMD
• Fourth Ward Clinic
• Fourth Ward Clinic
• Fourth Ward Clinic
• Fourth Ward Clinic
• Fourtoon Inc

• Addiction (Substance Use Disorder) Counselor in Houston, TX
• Providers in Houston, 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 Feb 26, 2015; 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.