| Equanimity Behavioral Health And Consultation Services | |
|
25301 Borough Park Dr Ste 220 The Woodlands TX 77380-3562 | |
| (281) 651-8474 | |
| Not Available |
| Full Name | Equanimity Behavioral Health And Consultation Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 25301 Borough Park Dr Ste 220, The Woodlands, Texas |
| Authorized Official Name and Position | Pacificah Nyangau (MANAGING MEMBER) |
| Authorized Official Contact | 2816518474 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Equanimity Behavioral Health And Consultation Services 2129 Fm 2920 Rd Ste 171 Spring TX 77388-3671 Ph: (282) 651-8474 | Equanimity Behavioral Health And Consultation Services 25301 Borough Park Dr Ste 220 The Woodlands TX 77380-3562 Ph: (281) 651-8474 |
| NPI Number | 1316576051 |
|---|---|
| Provider Enumeration Date | 04/04/2020 |
| Last Update Date | 04/03/2023 |
| Certification Date | 04/02/2023 |
| Medicare PECOS PAC ID | 2264853548 |
|---|---|
| Medicare Enrollment ID | O20200526000030 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316576051 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Pacificah Nyangau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417516519 PECOS PAC ID: 3173944451 Enrollment ID: I20200625000266 |
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