| The Initiative For Change And Development | |
|
1146 Willow Creek Dr La Porte TX 77571-2711 | |
| (832) 964-3849 | |
| Not Available |
| Full Name | The Initiative For Change And Development |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1146 Willow Creek Dr, La Porte, Texas |
| Authorized Official Name and Position | Alan Blackshear (DIRECTOR) |
| Authorized Official Contact | 8329643849 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Initiative For Change And Development 1146 Willow Creek Drive La Porte TX 77571 Ph: (832) 964-3849 | The Initiative For Change And Development 1146 Willow Creek Dr La Porte TX 77571-2711 Ph: (832) 964-3849 |
| NPI Number | 1184023970 |
|---|---|
| Provider Enumeration Date | 08/18/2014 |
| Last Update Date | 08/18/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184023970 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 11387 (Texas) | Primary |
Pierce Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 909 Myrtle Creek Dr, La Porte, TX 77571 Phone: 832-794-3209 Fax: 832-534-3273 |