Provider Demographics
NPI:1578615670
Name:COUNSELING ASSOCIATES OF SOUTH TEXAS INC.
Entity Type:Organization
Organization Name:COUNSELING ASSOCIATES OF SOUTH TEXAS INC.
Other - Org Name:CAST
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NORMA
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:LORD
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, LMFT, CGPE
Authorized Official - Phone:281-367-9836
Mailing Address - Street 1:25910 OAK RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-2018
Mailing Address - Country:US
Mailing Address - Phone:281-367-9836
Mailing Address - Fax:281-362-1473
Practice Address - Street 1:25910 OAK RIDGE DR
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-2018
Practice Address - Country:US
Practice Address - Phone:281-367-9836
Practice Address - Fax:281-362-1473
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-17
Last Update Date:2011-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS157041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0639395-01Medicaid
TX00S03SMedicare ID - Type Unspecified80