Provider Demographics
NPI:1750135687
Name:KTS MENTAL HEALTH AND WELLNESS SERVICES PLLC
Entity type:Organization
Organization Name:KTS MENTAL HEALTH AND WELLNESS SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:832-945-1487
Mailing Address - Street 1:601 PARK PLACE BLVD APT 313
Mailing Address - Street 2:
Mailing Address - City:ROSENBERG
Mailing Address - State:TX
Mailing Address - Zip Code:77469-5065
Mailing Address - Country:US
Mailing Address - Phone:832-945-1487
Mailing Address - Fax:
Practice Address - Street 1:601 PARK PLACE BLVD APT 313
Practice Address - Street 2:
Practice Address - City:ROSENBERG
Practice Address - State:TX
Practice Address - Zip Code:77469-5065
Practice Address - Country:US
Practice Address - Phone:832-945-1487
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-16
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty