| Ncng | |
|
3551 Roger Brooke Dr Fort Sam Houston TX 78234-4504 | |
| (210) 916-9588 | |
| Not Available |
| Full Name | Ncng |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3551 Roger Brooke Dr, Fort Sam Houston, Texas |
| Authorized Official Name and Position | Larisa O'hannon (BHO) |
| Authorized Official Contact | 8283013579 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ncng 12 Blue Smoke Trl Swannanoa NC 28778-8811 Ph: (828) 301-3579 | Ncng 3551 Roger Brooke Dr Fort Sam Houston TX 78234-4504 Ph: (210) 916-9588 |
| NPI Number | 1144054586 |
|---|---|
| Provider Enumeration Date | 08/28/2024 |
| Last Update Date | 03/12/2026 |
| Certification Date | 03/12/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144054586 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Dr. Angela Sallie, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Brooke Army Medical Center, Fort Sam Houston, TX 78234 Phone: 901-456-4487 |