Provider Demographics
NPI:1093926875
Name:CHEMICAL ADDICTION TREATMENT SERVICES
Entity Type:Organization
Organization Name:CHEMICAL ADDICTION TREATMENT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:A,
Authorized Official - Last Name:SEAGO
Authorized Official - Suffix:
Authorized Official - Credentials:DCH, LCDC
Authorized Official - Phone:936-756-4396
Mailing Address - Street 1:1510 INTERSTATE 45 N
Mailing Address - Street 2:SUITE 225
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77301-1669
Mailing Address - Country:US
Mailing Address - Phone:936-756-4396
Mailing Address - Fax:936-756-8369
Practice Address - Street 1:1510 INTERSTATE 45 N
Practice Address - Street 2:SUITE 225
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77301-1669
Practice Address - Country:US
Practice Address - Phone:936-756-4396
Practice Address - Fax:936-756-8369
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2301-A101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX08LVOtherBCBS