| Mona Mentors Community Agency, Inc. | |
|
6420 Richmond Ave Suite 602 Houston TX 77057-5929 | |
| (713) 266-2080 | |
| (800) 434-4305 |
| Full Name | Mona Mentors Community Agency, Inc. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 6420 Richmond Ave, Houston, Texas |
| Authorized Official Name and Position | Mona Ellis (PRESIDENT) |
| Authorized Official Contact | 7132662090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mona Mentors Community Agency, Inc. 1339 Macclesby Ln Channelview TX 77530-4822 Ph: (713) 266-2080 | Mona Mentors Community Agency, Inc. 6420 Richmond Ave Suite 602 Houston TX 77057-5929 Ph: (713) 266-2080 |
| NPI Number | 1144597956 |
|---|---|
| Provider Enumeration Date | 11/22/2011 |
| Last Update Date | 11/22/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144597956 | NPI | - | NPPES |
| 12165 | Other | TX | THHS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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