NPI 1003655663 · live from the CMS NPI Registry
A Texas Children And Family Development Center LLC
Community/Behavioral Health in Houston, TX. National Provider Identifier 1003655663, active.
NPI record
| NPI | 1003655663 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Community/Behavioral Health 251S00000X |
| Practice location | 16821 Buccaneer Ln Ste 200, Houston, TX 77058 |
| Practice phone | 713-725-5992 |
| Enumerated | May 23, 2024 |
| Last updated | June 14, 2024 |
| Authorized official | Joseph Wiley, Ceo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Mental Health | 101YM0800X | — |
| Case Manager/Care Coordinator | 171M00000X | — |
| Case Management | 251B00000X | — |
| Community/Behavioral Health primary | 251S00000X | — |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.