| Third Space Therapy Pllc | |
|
1942 W Gray St Houston TX 77019-4816 | |
| (408) 857-9016 | |
| Not Available |
| Full Name | Third Space Therapy Pllc |
|---|---|
| Speciality | Counselor |
| Location | 1942 W Gray St, Houston, Texas |
| Authorized Official Name and Position | Belinda Milford (PRESIDENT) |
| Authorized Official Contact | 4088579016 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Third Space Therapy Pllc 1942 W Gray St Houston TX 77019-4816 Ph: (408) 857-9016 | Third Space Therapy Pllc 1942 W Gray St Houston TX 77019-4816 Ph: (408) 857-9016 |
| NPI Number | 1215780234 |
|---|---|
| Provider Enumeration Date | 04/09/2024 |
| Last Update Date | 04/09/2024 |
| Certification Date | 04/09/2024 |
| Medicare PECOS PAC ID | 8729518014 |
|---|---|
| Medicare Enrollment ID | O20250217001726 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215780234 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Lynn S Curran |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467686345 PECOS PAC ID: 0648323808 Enrollment ID: I20090805000458 |
| Provider Name | Rosimar Suddeth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922247378 PECOS PAC ID: 3173676194 Enrollment ID: I20210414000782 |
| Provider Name | Jessica Reed |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902006901 PECOS PAC ID: 7810430006 Enrollment ID: I20240617000305 |
| Provider Name | Maureen E Lane |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063163970 PECOS PAC ID: 4688101520 Enrollment ID: I20241217002117 |
| Provider Name | Margaret Fitts Falcone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942793328 PECOS PAC ID: 8325568611 Enrollment ID: I20250217001919 |
| Provider Name | Sarah J. Langis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356650279 PECOS PAC ID: 3476071564 Enrollment ID: I20250513000565 |
| Provider Name | Elizabeth Anne Drozdal |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598955767 PECOS PAC ID: 9234657370 Enrollment ID: I20250513002225 |
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