Organization
THERAPY FOCUSED PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMISTIC WILTZ (OWNER)
(346) 327-4955
Entity
Organization
Contact information
Practice address
535 E FERNHURST DR, KATY, TX 77450-1431
(346) 327-4955
Mailing address
PO BOX 845, SAINT MARTINVILLE, LA 70582-0845
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
10/12/2022
Last updated
04/05/2024
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