| Catholic Charities Of The Archdiocese Of Galveston Houston | |
|
2900 Louisiana St Houston TX 77006-3435 | |
| (713) 526-4611 | |
| (713) 526-1546 |
| Full Name | Catholic Charities Of The Archdiocese Of Galveston Houston |
|---|---|
| Speciality | Social Worker |
| Location | 2900 Louisiana St, Houston, Texas |
| Authorized Official Name and Position | Jenifer Mitchell Santos (CLINICAL SUPERVISOR) |
| Authorized Official Contact | 7133516972 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Catholic Charities Of The Archdiocese Of Galveston Houston 2900 Louisiana St Houston TX 77006-3435 Ph: (713) 526-4611 | Catholic Charities Of The Archdiocese Of Galveston Houston 2900 Louisiana St Houston TX 77006-3435 Ph: (713) 526-4611 |
| NPI Number | 1851574396 |
|---|---|
| Provider Enumeration Date | 12/06/2007 |
| Last Update Date | 10/30/2024 |
| Certification Date | 10/30/2024 |
| Medicare PECOS PAC ID | 0749351484 |
|---|---|
| Medicare Enrollment ID | O20080624000198 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851574396 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Lawrence Balsam |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487824397 PECOS PAC ID: 2567533219 Enrollment ID: I20080624000280 |
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