Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Icebreaker Therapy PLLC

Organization Clinical Social Worker · NPI 1174445506

Icebreaker Therapy PLLC is a Clinical Social Worker in Montgomery, Texas. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

407 Auburn Pines Dr
Montgomery, TX 77316-1955
Phone: (989) 955-2026
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1174445506
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carmen Merrill — Psychotherapist · (989) 955-2026
NPI enumeratedJuly 28, 2026
Last updated in NPPESJuly 28, 2026
Certification dateJuly 28, 2026
Mailing address5900 Balcones Dr Ste 100, Austin, TX 78731-4298

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