| Tanglewood Behavioral Health Group Pc | |
|
1220 Augusta Dr Ste 290 Houston TX 77057-2261 | |
| (832) 931-7596 | |
| (832) 391-8219 |
| Full Name | Tanglewood Behavioral Health Group Pc |
|---|---|
| Speciality | Social Worker |
| Location | 1220 Augusta Dr Ste 290, Houston, Texas |
| Authorized Official Name and Position | Christine River Block (OWNER/THERAPIST) |
| Authorized Official Contact | 8329317596 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tanglewood Behavioral Health Group Pc 1220 Augusta Dr Ste 290 Houston TX 77057-2261 Ph: (832) 931-7596 | Tanglewood Behavioral Health Group Pc 1220 Augusta Dr Ste 290 Houston TX 77057-2261 Ph: (832) 931-7596 |
| NPI Number | 1710623087 |
|---|---|
| Provider Enumeration Date | 05/10/2022 |
| Last Update Date | 05/10/2022 |
| Certification Date | 05/10/2022 |
| Medicare PECOS PAC ID | 4587038690 |
|---|---|
| Medicare Enrollment ID | O20230313000847 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710623087 | NPI | - | NPPES |
| 1700307675 | Other | TX | NPI INDIVIDUAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Christine River Block |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700307675 PECOS PAC ID: 0941572481 Enrollment ID: I20230313000928 |
| Provider Name | Sarah Eiband |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285069013 PECOS PAC ID: 6709011935 Enrollment ID: I20231005000333 |
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