NPI 1003334616

Third Space Counseling and Consultation, PLLC

Organisation Professional Counselor San Antonio, TX

Practice location

Address: 1380 Pantheon Way Suite 245, San Antonio, TX 78232
Phone: (210) 602-9499
Mailing address: 1727 Salt Lick Rd, San Antonio, TX 78232

Authorised official

Name: Jeff Gatlin
Title: President
Phone: (210) 602-9499

Registered specialties

Professional Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence 17621 (TX)

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Registry record

NPI: 1003334616
Entity type: Organization
NPI issued: 3 Sep 2017
Record last updated: 3 Sep 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.