Organization
SHIELD-BEARER COUNSELING CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROY WOOTEN M.S. (EXECUTIVE DIRECTOR)
(281) 894-7222
Entity
Organization
Contact information
Practice address
12345 JONES RD, STE 285, HOUSTON, TX 77070-4855
(281) 894-7222
(281) 894-7892
Mailing address
12345 JONES RD, STE 285, HOUSTON, TX 77070-4958
(281) 894-7222
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/15/2012
Last updated
08/15/2012
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