Provider Demographics
NPI:1225461395
Name:SCOTT ANENBERG PSYCHOTHERAPY
Entity Type:Organization
Organization Name:SCOTT ANENBERG PSYCHOTHERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPY
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:ANENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:MA;LPC-S
Authorized Official - Phone:281-536-5461
Mailing Address - Street 1:3000 RICHMOND AVE STE 425
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77098-3188
Mailing Address - Country:US
Mailing Address - Phone:281-536-5461
Mailing Address - Fax:866-941-4896
Practice Address - Street 1:3000 RICHMOND AVE STE 425
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77098-3188
Practice Address - Country:US
Practice Address - Phone:281-536-5461
Practice Address - Fax:866-941-4896
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-13
Last Update Date:2013-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18106251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health