MEDICARE: RED THREAD THERAPY

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	1041C0700X	Clinical Social Worker
2	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1699502096
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RED THREAD THERAPY

Provider Business Mailing Address
First Line	:	PO BOX 2421
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77383-2421
Country	:	US
Telephone Number	:	346-704-0181
Fax Number	:

Provider Business Practice Location Address
First Line	:	1401 LAKE PLAZA DR STE 200186
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77389-1868
Country	:	US
Telephone Number	:	346-704-0181
Fax Number	:	252-360-4221

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. LAURA BROWN
Credential	:	LCSW
Telephone Number	:	346-704-0181

Provider Enumeration Date	:	09/18/2024
Last Update Date	:	02/08/2025

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Directions to “RED THREAD THERAPY ” Practice Location

Language	Start Address	Practice Location

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