Provider Demographics
NPI:1962565853
Name:THE COUNSELING INSTITUTE OF TEXAS, INC.
Entity type:Organization
Organization Name:THE COUNSELING INSTITUTE OF TEXAS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:T
Authorized Official - Last Name:MOLETT
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, LSOTP
Authorized Official - Phone:972-271-4300
Mailing Address - Street 1:3200 SOUTHERN DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75043-1549
Mailing Address - Country:US
Mailing Address - Phone:972-271-4300
Mailing Address - Fax:972-271-4302
Practice Address - Street 1:705 W AVENUE B
Practice Address - Street 2:SUITE 200
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75040-6230
Practice Address - Country:US
Practice Address - Phone:972-494-0160
Practice Address - Fax:972-494-0431
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-19
Last Update Date:2015-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX476927Medicaid
TX1562357-01OtherTPT