| Advanced Training Third Coast | |
|
1544 Sawdust Rd # 410 The Woodlands TX 77380-2929 | |
| (713) 492-4131 | |
| Not Available |
| Full Name | Advanced Training Third Coast |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1544 Sawdust Rd # 410, The Woodlands, Texas |
| Authorized Official Name and Position | Marcia Baker (OWNER) |
| Authorized Official Contact | 7134924131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Training Third Coast 50 Eagle Ct Spring TX 77380-3926 Ph: (713) 492-4131 | Advanced Training Third Coast 1544 Sawdust Rd # 410 The Woodlands TX 77380-2929 Ph: (713) 492-4131 |
| NPI Number | 1700430899 |
|---|---|
| Provider Enumeration Date | 07/28/2019 |
| Last Update Date | 07/28/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700430899 | NPI | - | NPPES |
| 3883092-01 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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