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18919 Ayston Dr Tomball TX 77375-2001 | |
| (971) 506-1996 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 18919 Ayston Dr, Tomball, Texas |
| Authorized Official Name and Position | Nicole Nashaye Rice (CEO) |
| Authorized Official Contact | 3463340588 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
18919 Ayston Dr Tomball TX 77375-2001 Ph: (971) 506-1996 | 18919 Ayston Dr Tomball TX 77375-2001 Ph: (971) 506-1996 |
| NPI Number | 1679183966 |
|---|---|
| Provider Enumeration Date | 08/03/2020 |
| Last Update Date | 08/19/2020 |
| Certification Date | 08/19/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679183966 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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