Organization
CENTRAL TEXAS MENTAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES L WOODS MA, LPC-S, LSOTP (EXECUTIVE DIRECTOR)
(979) 779-2864
Entity
Organization
Contact information
Practice address
702 S WASHINGTON AVE, BRYAN, TX 77803-3985
(979) 779-2864
(979) 696-5577
Mailing address
702 S WASHINGTON AVE, BRYAN, TX 77803-3985
(979) 779-2864
(979) 696-5577
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
251B00000X
Case Management Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609612-01
—
TX
Enumeration date
03/26/2007
Last updated
11/16/2011
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