| Bliss Behavioral Healthcare Services | |
|
2422 Fairbreeze Dr Katy TX 77494-5102 | |
| (973) 964-4595 | |
| Not Available |
| Full Name | Bliss Behavioral Healthcare Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 2422 Fairbreeze Dr, Katy, Texas |
| Authorized Official Name and Position | Sylvester O Nwosu (PMHNP) |
| Authorized Official Contact | 9739644595 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bliss Behavioral Healthcare Services 2422 Fairbreeze Dr Katy TX 77494-5102 Ph: () - | Bliss Behavioral Healthcare Services 2422 Fairbreeze Dr Katy TX 77494-5102 Ph: (973) 964-4595 |
| NPI Number | 1043730765 |
|---|---|
| Provider Enumeration Date | 06/23/2017 |
| Last Update Date | 04/16/2018 |
| Medicare PECOS PAC ID | 8628332954 |
|---|---|
| Medicare Enrollment ID | O20180514000625 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043730765 | NPI | - | NPPES |
| Provider Name | James S Guerrero |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851543839 PECOS PAC ID: 4587726617 Enrollment ID: I20081223000500 |
| Provider Name | Olayinka M Ayeni |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467645283 PECOS PAC ID: 9830250836 Enrollment ID: I20121210000026 |
| Provider Name | Sylvester Nwosu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073856944 PECOS PAC ID: 7315185220 Enrollment ID: I20170131000964 |
| Provider Name | Onyi Obinna Duruji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609409655 PECOS PAC ID: 2567889595 Enrollment ID: I20200904000294 |
| Provider Name | Sunny A Makolo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003467879 PECOS PAC ID: 9133515349 Enrollment ID: I20220414001734 |
| Provider Name | Martin Mensah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821743865 PECOS PAC ID: 7214316355 Enrollment ID: I20220621002612 |
| Provider Name | Gena Csw Panatieri |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740931971 PECOS PAC ID: 8022490192 Enrollment ID: I20220805001548 |
| Provider Name | Johnbosco Uche Okafor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285359208 PECOS PAC ID: 4880063536 Enrollment ID: I20221220000733 |
| Provider Name | April Michelle Maldonado |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417669326 PECOS PAC ID: 9830564939 Enrollment ID: I20230403001484 |
| Provider Name | Dequita L Frost |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770285686 PECOS PAC ID: 0840653119 Enrollment ID: I20230905000881 |
| Provider Name | Joseph O Ukonu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487761904 PECOS PAC ID: 3779733050 Enrollment ID: I20240304000602 |
| Provider Name | Adrian Nwosu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073365821 PECOS PAC ID: 3274972450 Enrollment ID: I20240421000101 |
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