| Organization Name: | GREATER HOUSTON COUNSELING AND THERAPY CENTER |
| NPI Number: | 1013353341 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RICHARD WAGNER (THERAPIST) |
| Mailing Address: | 5132 Mimosa Dr Bellaire |
| State: | TX US |
| Postal Code: | 774014941 |
| Phone Number: | 6469573581 |
| Fax Number: | 7138389943 |
| NPI Enumeration Date: | 05/14/2013 |
| NPI Last Update Date: | 05/14/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 69088 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |