Provider Demographics
NPI:1114375185
Name:PSYCHOTHERAPY CONSULTANTS INC
Entity Type:Organization
Organization Name:PSYCHOTHERAPY CONSULTANTS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:K
Authorized Official - Last Name:BRUCHAS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:713-623-0816
Mailing Address - Street 1:3000 WESLAYAN ST
Mailing Address - Street 2:STE 255
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027-5700
Mailing Address - Country:US
Mailing Address - Phone:713-623-0816
Mailing Address - Fax:
Practice Address - Street 1:3000 WESLAYAN ST
Practice Address - Street 2:STE 255
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-5700
Practice Address - Country:US
Practice Address - Phone:713-623-0816
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-31
Last Update Date:2016-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX24922103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty