| Synergy Behavioral Healthcare Llc | |
|
12450 Bissonnet St Ste 220 Houston TX 77099-1392 | |
| (832) 704-9207 | |
| Not Available |
| Full Name | Synergy Behavioral Healthcare Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 12450 Bissonnet St Ste 220, Houston, Texas |
| Authorized Official Name and Position | Joyce Emmanuel (DIRECTOR) |
| Authorized Official Contact | 8327049207 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Synergy Behavioral Healthcare Llc 3923 Reefton Ln Missouri City TX 77459-5017 Ph: (832) 704-9207 | Synergy Behavioral Healthcare Llc 12450 Bissonnet St Ste 220 Houston TX 77099-1392 Ph: (832) 704-9207 |
| NPI Number | 1053197665 |
|---|---|
| Provider Enumeration Date | 09/07/2023 |
| Last Update Date | 09/07/2023 |
| Certification Date | 09/07/2023 |
| Medicare PECOS PAC ID | 9335596881 |
|---|---|
| Medicare Enrollment ID | O20231106002597 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053197665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Elsie Nlerum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528693405 PECOS PAC ID: 8527481001 Enrollment ID: I20200701001329 |
| Provider Name | Janet Bose Aworinde |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366152159 PECOS PAC ID: 2961845367 Enrollment ID: I20240213000116 |
| Provider Name | Tomitamunokuma Isobo Tariah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972373280 PECOS PAC ID: 3870939119 Enrollment ID: I20240308003728 |
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