| Integrated Behavioral Health & Wellness Consultants, Pllc | |
|
10634 Kings River Dr Rosharon TX 77583-4192 | |
| (713) 232-0034 | |
| (800) 791-2069 |
| Full Name | Integrated Behavioral Health & Wellness Consultants, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 10634 Kings River Dr, Rosharon, Texas |
| Authorized Official Name and Position | Diane Marie Boudreaux (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 7132320034 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Behavioral Health & Wellness Consultants, Pllc 10634 Kings River Dr Rosharon TX 77583-4192 Ph: (713) 232-0034 | Integrated Behavioral Health & Wellness Consultants, Pllc 10634 Kings River Dr Rosharon TX 77583-4192 Ph: (713) 232-0034 |
| NPI Number | 1568805364 |
|---|---|
| Provider Enumeration Date | 04/10/2013 |
| Last Update Date | 02/12/2026 |
| Certification Date | 02/12/2026 |
| Medicare PECOS PAC ID | 1951542695 |
|---|---|
| Medicare Enrollment ID | O20130723000767 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568805364 | NPI | - | NPPES |
| 3259929 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 35073 (Texas) | Primary |
| Provider Name | Diane Marie Boudreaux |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568782068 PECOS PAC ID: 2860633500 Enrollment ID: I20130725000459 |
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