# GMC RESTORATIVE THERAPY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881024974
- **Authorized official:** MS. JANICE LEONARD MEDIATOR (DIRECTOR)
- **Authorized official phone:** (713) 661-3233

## Contact information

- **Practice address:** 2616 S LOOP W, HOUSTON, TX 77054-2662
- **Practice address phone:** (713) 661-3233
- **Practice address fax:** (713) 904-2455
- **Mailing address:** 2616 S LOOP W, HOUSTON, TX 77054-2662
- **Mailing address phone:** (713) 661-3233
- **Mailing address fax:** (713) 904-2455

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |
| 106H00000X | Marriage & Family Therapist | — | NULL | — |
| 106H00000X | Marriage & Family Therapist | — | — | — |
| 111NR0400X | Rehabilitation Chiropractor | — | NULL | — |
| 111NR0400X | Rehabilitation Chiropractor | — | — | — |
| 207QA0505X | Adult Medicine Physician | — | NULL | — |
| 207QA0505X | Adult Medicine Physician | — | — | — |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | NULL | — |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 11/26/2013
- **Last updated:** 11/26/2013