| Avenue 360 Health And Wellness | |
|
2150 W 18th St Suite 300 Houston TX 77008-5200 | |
| (713) 426-0027 | |
| (832) 209-7186 |
| Full Name | Avenue 360 Health And Wellness |
|---|---|
| Speciality | Clinic/Center |
| Location | 2150 W 18th St Suite 300, Houston, Texas |
| Authorized Official Name and Position | Tequila Henderson (REVENUE CYCLE DIRECTOR) |
| Authorized Official Contact | 7134260027 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Avenue 360 Health And Wellness 2150 W 18th St Ste 300 Houston TX 77008-1289 Ph: (713) 426-0027 | Avenue 360 Health And Wellness 2150 W 18th St Suite 300 Houston TX 77008-5200 Ph: (713) 426-0027 |
| NPI Number | 1053539262 |
|---|---|
| Provider Enumeration Date | 04/23/2007 |
| Last Update Date | 10/30/2024 |
| Certification Date | 10/29/2024 |
| Medicare PECOS PAC ID | 6608977095 |
|---|---|
| Medicare Enrollment ID | O20071115000320 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053539262 | NPI | - | NPPES |
| 202850804 | Medicaid | TX |
| Provider Name | Faith M Whittier |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770526006 PECOS PAC ID: 5991767667 Enrollment ID: I20041103001308 |
| Provider Name | Juan L Garza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821040429 PECOS PAC ID: 0244331627 Enrollment ID: I20070730000479 |
| Provider Name | Syed H Rizvi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063412807 PECOS PAC ID: 0648364364 Enrollment ID: I20070925000506 |
| Provider Name | Rebecca B Laster |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144402280 PECOS PAC ID: 8527143684 Enrollment ID: I20080313000205 |
| Provider Name | Frene De'shawn Lacour Chestnut |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316196884 PECOS PAC ID: 5991868952 Enrollment ID: I20090116000483 |
| Provider Name | Sharon A Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912151044 PECOS PAC ID: 0244374783 Enrollment ID: I20100222000186 |
| Provider Name | Shannon M Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891095444 PECOS PAC ID: 4880864719 Enrollment ID: I20110831000514 |
| Provider Name | Dinesh M Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427050772 PECOS PAC ID: 3678578721 Enrollment ID: I20120206000876 |
| Provider Name | Charlene A Flash |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1417174897 PECOS PAC ID: 3779739230 Enrollment ID: I20120816000192 |
| Provider Name | Elizabeth T. Nguyen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780946046 PECOS PAC ID: 0941428353 Enrollment ID: I20140827000625 |
| Provider Name | Natalia R Maani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093945461 PECOS PAC ID: 8325216229 Enrollment ID: I20150514002036 |
| Provider Name | Patricia Hayes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992935597 PECOS PAC ID: 8527283423 Enrollment ID: I20151102001232 |
| Provider Name | Ruth Tejada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275900458 PECOS PAC ID: 0042516114 Enrollment ID: I20160316000315 |
| Provider Name | Sharita N C Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770998999 PECOS PAC ID: 5890010672 Enrollment ID: I20160421001524 |
| Provider Name | Bettina R Raju |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861861262 PECOS PAC ID: 3476829292 Enrollment ID: I20171024000422 |
| Provider Name | Jessica Pearce |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134562945 PECOS PAC ID: 0749546307 Enrollment ID: I20171114003383 |
| Provider Name | Renee Elizabeth Barron |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1003275496 PECOS PAC ID: 0446500045 Enrollment ID: I20180831000920 |
| Provider Name | Hanjing Wu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366860447 PECOS PAC ID: 2961755038 Enrollment ID: I20181019001878 |
| Provider Name | Toni Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538619655 PECOS PAC ID: 2264786573 Enrollment ID: I20181126000669 |
| Provider Name | Therese Ndessoko Obioha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053730101 PECOS PAC ID: 3577860881 Enrollment ID: I20190628001917 |
| Provider Name | Sandra L Russell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629349303 PECOS PAC ID: 1850536822 Enrollment ID: I20190729000731 |
| Provider Name | Rayanne House |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538502034 PECOS PAC ID: 4486060183 Enrollment ID: I20210304000017 |
| Provider Name | Kerry Mendes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124348370 PECOS PAC ID: 0840506846 Enrollment ID: I20210922002346 |
| Provider Name | Alimatu Sadia Garuba-sedenu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053805028 PECOS PAC ID: 1658778972 Enrollment ID: I20210929000053 |
| Provider Name | Sa'misty A Utley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518538669 PECOS PAC ID: 8022416890 Enrollment ID: I20211008000006 |
| Provider Name | Lakecia Pitts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295261592 PECOS PAC ID: 6901174630 Enrollment ID: I20211018000055 |
| Provider Name | Nicole A Middleton |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1982754461 PECOS PAC ID: 5799174926 Enrollment ID: I20211110000396 |
| Provider Name | Clifton Nichols |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1811163249 PECOS PAC ID: 1153626692 Enrollment ID: I20211110000820 |
| Provider Name | Rachel R Lee |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942962303 PECOS PAC ID: 2668861816 Enrollment ID: I20211110001056 |
| Provider Name | John B Dioquino |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1316972805 PECOS PAC ID: 4587980677 Enrollment ID: I20211110001711 |
| Provider Name | Lauren Hickland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922750595 PECOS PAC ID: 3971990367 Enrollment ID: I20220504001072 |
| Provider Name | Veronica Barron |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1831745884 PECOS PAC ID: 0446695456 Enrollment ID: I20240305003187 |
| Provider Name | Eboni Scott |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841834884 PECOS PAC ID: 9032555842 Enrollment ID: I20240314001507 |
| Provider Name | Catherine Cook |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316691488 PECOS PAC ID: 0446697163 Enrollment ID: I20240318001273 |
| Provider Name | Maria A Rojas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053772129 PECOS PAC ID: 9436599388 Enrollment ID: I20240425003631 |
Parker Place Property Owners Association, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10914 Bridlepark Cir, Houston, TX 77016 Phone: 281-449-3233 | |
Healthy Therapeutic Solutions. Llc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8700 Commerce Park Dr Ste 219, Houston, TX 77036 Phone: 771-771-5151 Fax: 771-771-5156 | |
Pate Psychological Services Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7505 South Fwy, Ste F, Houston, TX 77021 Phone: 713-741-8516 Fax: 713-741-8517 | |
Center For Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 176 Uvalde, Houston, TX 77015 Phone: 713-455-7008 Fax: 713-455-4870 | |
West Belfort Family Practice Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8449 W Belfort, 220, Houston, TX 77071 Phone: 281-974-1723 | |
Harizon Healthcare Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7642 Crofton St, Houston, TX 77028 Phone: 832-318-3643 | |
Heartland Physicians Associates Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2222 Maroneal St, 1716, Houston, TX 77030 Phone: 304-346-1969 |