| Abiding Christian Therapy, Llc | |
|
7703 Bridle Path Dr Houston TX 77044-2709 | |
| (281) 458-1967 | |
| (281) 458-1967 |
| Full Name | Abiding Christian Therapy, Llc |
|---|---|
| Speciality | Counselor |
| Location | 7703 Bridle Path Dr, Houston, Texas |
| Authorized Official Name and Position | Penny Lezak (ADMINISTRATOR) |
| Authorized Official Contact | 7134532300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Abiding Christian Therapy, Llc 12655 Woodforest Blvd Ste 700 Houston TX 77015-3575 Ph: (713) 453-2300 | Abiding Christian Therapy, Llc 7703 Bridle Path Dr Houston TX 77044-2709 Ph: (281) 458-1967 |
| NPI Number | 1205871860 |
|---|---|
| Provider Enumeration Date | 06/18/2006 |
| Last Update Date | 10/18/2021 |
| Certification Date | 10/18/2021 |
| Medicare PECOS PAC ID | 2365840857 |
|---|---|
| Medicare Enrollment ID | O20211014000404 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205871860 | NPI | - | NPPES |
| 178749101 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| 252Y00000X | Early Intervention Provider Agency | (* (Not Available)) | Secondary |
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