Search › Texas › 1041C0700X
Bethany Thacker, LCSW
NPI 1316483209 · on the registry since 2017
Practice
- Address
- 3200 Southwest Fwy
Houston, TX 77027 - Phone
- (860) 933-6765
- Organisation at this address
- Imagine Pediatrics Pllc
Np Nutritional Services,Llc
Community Treatment Alternatives Of TxInferred from a shared address, not stated in the registry. - Clinicians at this address
- 40
Additional practice sites
- 3109 W Dr Martin Luther King Jr Blvd Ste 350, Tampa, FL
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 104100000X
1041C0700X
1041C0700X
1041C0700X
1041C0700X
1041C0700X
1041C0700X - Licence states on file
- MO, NC, FL, SC, IA, NV, VA, TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-11-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas