Bayou Behavioral Healthcare Services Inc | |
2922 Rosedale St Ste 1020 Houston TX 77004-6188 | |
(713) 874-1234 | |
(713) 521-1277 |
Full Name | Bayou Behavioral Healthcare Services Inc |
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Speciality | Case Management |
Location | 2922 Rosedale St Ste 1020, Houston, Texas |
Authorized Official Name and Position | Jennifer Roy (ADMINISTRATOR) |
Authorized Official Contact | 8325490994 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bayou Behavioral Healthcare Services Inc 2922 Rosedale St Ste 1020 Houston TX 77004-6188 Ph: (713) 874-1234 | Bayou Behavioral Healthcare Services Inc 2922 Rosedale St Ste 1020 Houston TX 77004-6188 Ph: (713) 874-1234 |
NPI Number | 1750888756 |
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Provider Enumeration Date | 04/07/2018 |
Last Update Date | 10/19/2023 |
Certification Date | 10/19/2023 |
Medicare PECOS PAC ID | 7012242266 |
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Medicare Enrollment ID | O20190711000267 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750888756 | NPI | - | NPPES |
Provider Name | Sereathia Kesee |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1851698617 PECOS PAC ID: 1951532985 Enrollment ID: I20140315000098 |
Provider Name | Lisa L Eiland |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1750838173 PECOS PAC ID: 4587070040 Enrollment ID: I20210414001350 |
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