Provider Demographics
NPI:1144411703
Name:THE WOODLANDS UNITED METHODIST CHURCH
Entity Type:Organization
Organization Name:THE WOODLANDS UNITED METHODIST CHURCH
Other - Org Name:GRACE POINT MARRIAGE & FAMILY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINICAL MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KELLIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:COLE
Authorized Official - Suffix:
Authorized Official - Credentials:M ED, LPC-S, RPT-S
Authorized Official - Phone:281-466-8602
Mailing Address - Street 1:9201 GROGANS MILL RD
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-3621
Mailing Address - Country:US
Mailing Address - Phone:281-466-8602
Mailing Address - Fax:
Practice Address - Street 1:9201 GROGANS MILL RD
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-3621
Practice Address - Country:US
Practice Address - Phone:281-466-8602
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE WOODLANDS UNITED METHODIST CHURCH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-08-07
Last Update Date:2007-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health