Organization
ADVANCED TRAINING THIRD COAST
Active
Other names
Third Coast Counseling and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCIA BAKER PHD, LPC , LCDC (OWNER)
(713) 492-4131
Entity
Organization
Contact information
Practice address
1544 SAWDUST RD # 410, THE WOODLANDS, TX 77380-2929
(713) 492-4131
Mailing address
50 EAGLE CT, SPRING, TX 77380-3926
(713) 492-4131
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3883092-01
—
TX
Enumeration date
07/28/2019
Last updated
07/28/2019
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