| Behavioral Health Source | |
|
952 Echo Ln Ste 335 Houston TX 77024-2792 | |
| (713) 984-2121 | |
| Not Available |
| Full Name | Behavioral Health Source |
|---|---|
| Speciality | Counselor - Professional |
| Location | 952 Echo Ln Ste 335, Houston, Texas |
| Authorized Official Name and Position | Samuel E Lee (DIRECTOR) |
| Authorized Official Contact | 7139842121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Health Source Po Box 55039 Houston TX 77255-5039 Ph: (713) 984-2121 | Behavioral Health Source 952 Echo Ln Ste 335 Houston TX 77024-2792 Ph: (713) 984-2121 |
| NPI Number | 1689058240 |
|---|---|
| Provider Enumeration Date | 07/14/2015 |
| Last Update Date | 07/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689058240 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 13830 (Texas) | Primary |
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