| Shalom Mental Health | |
|
16727 Fm 529 Rd Houston TX 77095-1311 | |
| (832) 739-9720 | |
| Not Available |
| Full Name | Shalom Mental Health |
|---|---|
| Speciality | Counselor - Professional |
| Location | 16727 Fm 529 Rd, Houston, Texas |
| Authorized Official Name and Position | Ekow Kwakye (PRESIDENT) |
| Authorized Official Contact | 8327399720 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shalom Mental Health 18815 Primrose Edge Ct Cypress TX 77429-1114 Ph: (832) 739-9720 | Shalom Mental Health 16727 Fm 529 Rd Houston TX 77095-1311 Ph: (832) 739-9720 |
| NPI Number | 1275097115 |
|---|---|
| Provider Enumeration Date | 01/24/2019 |
| Last Update Date | 10/30/2020 |
| Certification Date | 10/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275097115 | NPI | - | NPPES |
| 390342901 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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