Provider Demographics
NPI:1568011948
Name:KBT COUNSELING AND CONSULTING, PLLC
Entity type:Organization
Organization Name:KBT COUNSELING AND CONSULTING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO, LEAD CLINICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KAMILAH
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:346-800-7543
Mailing Address - Street 1:5909 WEST LOOP S STE 670
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-2494
Mailing Address - Country:US
Mailing Address - Phone:346-800-7543
Mailing Address - Fax:
Practice Address - Street 1:5909 WEST LOOP S STE 670
Practice Address - Street 2:
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-2494
Practice Address - Country:US
Practice Address - Phone:346-800-7543
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-08
Last Update Date:2019-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)