Provider Demographics
NPI:1467677484
Name:THE OPEN ARMS AGENCY
Entity Type:Organization
Organization Name:THE OPEN ARMS AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CASEMANAGER,THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:GWENNETH
Authorized Official - Middle Name:
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC
Authorized Official - Phone:361-299-2639
Mailing Address - Street 1:400 S PADRE ISLAND DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78405-4121
Mailing Address - Country:US
Mailing Address - Phone:361-299-2639
Mailing Address - Fax:
Practice Address - Street 1:400 S PADRE ISLAND DR
Practice Address - Street 2:SUITE 100
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78405-4121
Practice Address - Country:US
Practice Address - Phone:361-299-2639
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12787251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management