Provider Demographics
NPI:1033508346
Name:KNAPICK THERAPIES
Entity Type:Organization
Organization Name:KNAPICK THERAPIES
Other - Org Name:ROBERT KNAPICK
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:ALBERT
Authorized Official - Last Name:KNAPICK
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:713-494-0915
Mailing Address - Street 1:P O BOX 221
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:TX
Mailing Address - Zip Code:77356-0221
Mailing Address - Country:US
Mailing Address - Phone:713-494-0915
Mailing Address - Fax:
Practice Address - Street 1:6265 HWY 105 SUITE 103
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77304-4779
Practice Address - Country:US
Practice Address - Phone:713-494-0915
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-12
Last Update Date:2015-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4532106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty