| Adaptive Behavioral Health, Llc | |
|
2855 Mangum Rd Ste A415 Houston TX 77092-7493 | |
| (225) 405-5895 | |
| (281) 815-5096 |
| Full Name | Adaptive Behavioral Health, Llc |
|---|---|
| Speciality | Case Management |
| Location | 2855 Mangum Rd Ste A415, Houston, Texas |
| Authorized Official Name and Position | Leroy Scott (CEO) |
| Authorized Official Contact | 2254055895 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adaptive Behavioral Health, Llc 9212 Fry Road Suite 105 / #321 Cypress TX 77433 Ph: () - | Adaptive Behavioral Health, Llc 2855 Mangum Rd Ste A415 Houston TX 77092-7493 Ph: (225) 405-5895 |
| NPI Number | 1093443848 |
|---|---|
| Provider Enumeration Date | 08/10/2022 |
| Last Update Date | 07/29/2024 |
| Certification Date | 07/29/2024 |
| Medicare PECOS PAC ID | 8224479217 |
|---|---|
| Medicare Enrollment ID | O20240508001116 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093443848 | NPI | - | NPPES |
| Provider Name | Leroy Scott |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598799074 PECOS PAC ID: 3779924766 Enrollment ID: I20240508001874 |
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