Salem Therapeutics
Counselor, Professional in Houston, TX. Organization (NPI-2).
NPI number1124886486
StatusActive
Last updated in NPPESMar 11, 2024
Details
- NPI
- 1124886486
- Entity type
- Organization (NPI-2)
- Legal business name
- Salem Therapeutics
- Organization subpart
- No
- Enumeration date
- Mar 11, 2024
- Certification date
- Mar 11, 2024
- Last updated
- Mar 11, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | – | – | Yes |
| 103TC0700X | Psychologist, Clinical | – | – | |
| 103TC1900X | Psychologist, Counseling | – | – | |
| 103TE1100X | Psychologist, Exercise & Sports | – | – | |
| 1041C0700X | Social Worker, Clinical | – | – |
Practice location
9800 Pagewood Ln Apt 2605Houston, TX 77042-5531
Phone 832-308-0764
Mailing address
9800 Pagewood Ln Apt 2605Houston, TX 77042-5531
Phone 832-308-0764
Authorized official
Evan Smith
Ceo
8323080764
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