Third Space Counseling And Consultation, PLLC
Counselor, Professional in San Antonio, TX. Organization (NPI-2).
NPI number1003334616
StatusActive
Last updated in NPPESSep 3, 2017
Details
- NPI
- 1003334616
- Entity type
- Organization (NPI-2)
- Legal business name
- Third Space Counseling And Consultation, PLLC
- Organization subpart
- No
- Enumeration date
- Sep 3, 2017
- Last updated
- Sep 3, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 17621 | TX | Yes |
Practice location
1380 Pantheon Way Suite 245San Antonio, TX 78232
Phone 210-602-9499
Mailing address
1727 Salt Lick RdSan Antonio, TX 78232
Phone 210-602-9499
Authorized official
Jeff Gatlin
President
2106029499
Is something wrong?
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