Individual
THELMA PARKER BAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1910 BUTTONWOOD TRAIL, ROSENBERG, TX 77471
(281) 543-1162
Mailing address
1910 BUTTONWOOD TRAIL, ROSENBERG, TX 77471
(281) 543-1162
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
TX
251S00000X
Community/Behavioral Health Agency
Primary
—
TX
261QM0850X
Adult Mental Health Clinic/Center
—
TX
Other
Enumeration date
05/19/2020
Last updated
05/19/2020
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