Provider Demographics
NPI:1285294900
Name:MALATY THERAPY
Entity type:Organization
Organization Name:MALATY THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:TAMMER
Authorized Official - Middle Name:
Authorized Official - Last Name:MALATY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:713-628-3966
Mailing Address - Street 1:9545 KATY FWY STE 425
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-1412
Mailing Address - Country:US
Mailing Address - Phone:713-628-3966
Mailing Address - Fax:
Practice Address - Street 1:9545 KATY FWY STE 425
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-1412
Practice Address - Country:US
Practice Address - Phone:713-628-3966
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-14
Last Update Date:2019-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)