MEDICARE: ANOTHER WAY THERAPEUTIC CENTER, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor

General Provider Information

NPI Number	:	1538538376
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANOTHER WAY THERAPEUTIC CENTER, PLLC

Provider Business Mailing Address
First Line	:	PO BOX 10801
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77206-0801
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	13700 VETERANS MEMORIAL DR
Second Line	:	SUITE 235
City	:	HOUSTON
State	:	TX
Zip	:	77014-1026
Country	:	US
Telephone Number	:	346-401-8323
Fax Number	:	281-317-1978

Authorized Official
Title or Position	:	DIRECTOR
Name	:	ANDREA ROSS
Credential	:
Telephone Number	:	346-401-8323

Provider Enumeration Date	:	09/23/2015
Last Update Date	:	09/23/2015

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