Provider Demographics
NPI:1164640629
Name:PSYCHOTHERAPY ASSOCIATES, PLLC
Entity Type:Organization
Organization Name:PSYCHOTHERAPY ASSOCIATES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:S
Authorized Official - Last Name:ADAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-622-8411
Mailing Address - Street 1:3000 WESLAYAN ST
Mailing Address - Street 2:SUITE 347
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027-5700
Mailing Address - Country:US
Mailing Address - Phone:713-622-8411
Mailing Address - Fax:713-622-1940
Practice Address - Street 1:3000 WESLAYAN ST
Practice Address - Street 2:SUITE 347
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-5700
Practice Address - Country:US
Practice Address - Phone:713-622-8411
Practice Address - Fax:713-622-1940
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3251041C0700X
TXK94732084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Not Answered2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty