# KOLAIAH'S HOUSE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kolaiah's House
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366014755
- **Authorized official:** FREDRICK W SHAW CART, LCDC (OWNER)
- **Authorized official phone:** (832) 335-0633

## Contact information

- **Practice address:** 10303 NORTHWEST FWY STE 350, HOUSTON, TX 77092-8222
- **Practice address phone:** (832) 335-0633
- **Mailing address:** 401 ORIOLE ST, HOUSTON, TX 77018-6626
- **Mailing address phone:** (832) 335-0633

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |

## Other

- **Enumeration date:** 07/14/2021
- **Last updated:** 07/14/2021