Provider Demographics
NPI:1528189511
Name:METRO COUNSELING ASSOCIATES,P.C.
Entity Type:Organization
Organization Name:METRO COUNSELING ASSOCIATES,P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOANN
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC-LMFT
Authorized Official - Phone:409-457-4849
Mailing Address - Street 1:16 UVALDE
Mailing Address - Street 2:115
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77015
Mailing Address - Country:US
Mailing Address - Phone:409-457-4849
Mailing Address - Fax:866-797-8909
Practice Address - Street 1:16 UVALDE
Practice Address - Street 2:115
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77015
Practice Address - Country:US
Practice Address - Phone:409-457-4849
Practice Address - Fax:866-797-8909
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-03
Last Update Date:2010-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1687907-01Medicaid