| Village Life Center Texas | |
|
2101 Crawford St Ste 208 Houston TX 77002-8941 | |
| (713) 739-9725 | |
| (866) 242-3803 |
| Full Name | Village Life Center Texas |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2101 Crawford St Ste 208, Houston, Texas |
| Authorized Official Name and Position | Ayann Carr-brown (CEO) |
| Authorized Official Contact | 9197238799 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Village Life Center Texas 9660 Falls Of Neuse Road Suite 138, #273 Raleigh NC 27615 Ph: (919) 723-8799 | Village Life Center Texas 2101 Crawford St Ste 208 Houston TX 77002-8941 Ph: (713) 739-9725 |
| NPI Number | 1790146942 |
|---|---|
| Provider Enumeration Date | 03/16/2016 |
| Last Update Date | 03/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790146942 | NPI | - | NPPES |
| 0829 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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