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Contact Information

PRACTICE INTERGRATED BEHAVIORAL HEALTH
627 W 19TH ST
SUITE 203
HOUSTON, TX77008
 Phone: 832-248-4636
 Fax: 866-804-7241
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
 

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Marriage & Family Therapist

106H00000X
Indicates primary specialty

NPI Profile & details for PRACTICE INTERGRATED BEHAVIORAL HEALTH · (Female)

NPI # 1366984684
Status Active
Credentials
Entity Individual
Enumeration date 11/17/2016
Last updated 08/20/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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