THE OTHER SIDE TREATMENT CENTER PLLC NPI 1477062032

NPI Information

NPI: 1477062032
Provider Name: THE OTHER SIDE TREATMENT CENTER, PLLC
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
3619 PAESANOS PKWY
SHAVANO PARK, TX
ZIP 78231
Phone: (888) 509-2306
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THE OTHER SIDE TREATMENT CENTER, PLLC is an addiction (substance use disorder) counselor in Shavano Park, TX. THE OTHER SIDE TREATMENT CENTER, PLLC NPI is 1477062032. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3619 PAESANOS PKWY
SHAVANO PARK, TX
ZIP 78231-253
Phone: (888) 509-2306

The provider's authorized official is Ellen Duncan .
The authorized official title is Managing Member and has the following contact phone number (888) 509-2306.

The enumeration date for this NPI number is 9/27/2017 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License State	Primary
1	101YP2500X	Counselor	Professional	TEXAS	No
2	207Q00000X	Family Medicine			No
3	101YA0400X	Counselor	Addiction (Substance Use Disorder)	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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