| Abundantchanges | |
|
100002 Port Angeles Drive Houston TX 77086 | |
| (832) 830-3374 | |
| Not Available |
| Full Name | Abundantchanges |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 100002 Port Angeles Drive, Houston, Texas |
| Authorized Official Name and Position | Lakisha Nicole Williams (CEO) |
| Authorized Official Contact | 8328303374 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Abundantchanges 100002 Portangels Drive Houston TX 77086 Ph: (832) 830-3374 | Abundantchanges 100002 Port Angeles Drive Houston TX 77086 Ph: (832) 830-3374 |
| NPI Number | 1316297583 |
|---|---|
| Provider Enumeration Date | 09/14/2012 |
| Last Update Date | 09/14/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316297583 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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