Provider Demographics
NPI:1144239849
Name:THIRD DAY COUNSELING SERVICES, PLLC
Entity Type:Organization
Organization Name:THIRD DAY COUNSELING SERVICES, PLLC
Other - Org Name:ETTER & ETTER, PLLC COUNSELING SERVICES
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER/ PROVIDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:GRICELDA
Authorized Official - Middle Name:G
Authorized Official - Last Name:ORTIZ
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:210-213-6454
Mailing Address - Street 1:10010 SAN PEDRO AVE
Mailing Address - Street 2:# 610
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78216-3862
Mailing Address - Country:US
Mailing Address - Phone:210-213-6454
Mailing Address - Fax:210-222-8030
Practice Address - Street 1:10010 SAN PEDRO AVE
Practice Address - Street 2:# 610
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-3862
Practice Address - Country:US
Practice Address - Phone:210-213-6454
Practice Address - Fax:210-222-8030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-05
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX=========OtherEIN NUMBER