| Texas Youth Addiction Counseling Services, Llc | |
|
16903 Red Oak Dr Ste 210 Houston TX 77090-3916 | |
| (832) 208-6966 | |
| (480) 984-8898 |
| Full Name | Texas Youth Addiction Counseling Services, Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 16903 Red Oak Dr Ste 210, Houston, Texas |
| Authorized Official Name and Position | Aaron Hallstrom (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8322086966 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Texas Youth Addiction Counseling Services, Llc 505 Wells Fargo Dr Apt 913 Houston TX 77090-4019 Ph: (832) 208-6966 | Texas Youth Addiction Counseling Services, Llc 16903 Red Oak Dr Ste 210 Houston TX 77090-3916 Ph: (832) 208-6966 |
| NPI Number | 1548521792 |
|---|---|
| Provider Enumeration Date | 06/05/2012 |
| Last Update Date | 06/05/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548521792 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 11698 (Texas) | Primary |
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