| Office Of Behavioral Medicine | |
|
15603 Kuykendahl Rd Ste 300 Houston TX 77090-3656 | |
| (888) 988-6329 | |
| (936) 417-8015 |
| Full Name | Office Of Behavioral Medicine |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 15603 Kuykendahl Rd Ste 300, Houston, Texas |
| Authorized Official Name and Position | Arienne Rose Williams (OWNER) |
| Authorized Official Contact | 9364468244 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Office Of Behavioral Medicine 15603 Kuykendahl Rd Ste 300 Houston TX 77090-3656 Ph: (888) 988-6329 | Office Of Behavioral Medicine 15603 Kuykendahl Rd Ste 300 Houston TX 77090-3656 Ph: (888) 988-6329 |
| NPI Number | 1336501287 |
|---|---|
| Provider Enumeration Date | 03/22/2016 |
| Last Update Date | 06/13/2024 |
| Certification Date | 06/13/2024 |
| Medicare PECOS PAC ID | 8224442736 |
|---|---|
| Medicare Enrollment ID | O20210125001435 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336501287 | NPI | - | NPPES |
| Provider Name | Erin Haytaian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801149968 PECOS PAC ID: 5395996854 Enrollment ID: I20121108000636 |
| Provider Name | Kristina M Dodson Dupree |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336432236 PECOS PAC ID: 7911234513 Enrollment ID: I20210125001873 |
| Provider Name | Tina Harper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609448703 PECOS PAC ID: 2264808138 Enrollment ID: I20231208000352 |
| Provider Name | Yesenia Yvette Rios |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710928403 PECOS PAC ID: 1850735945 Enrollment ID: I20240226000897 |
| Provider Name | Arienne Rose Williams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265816276 PECOS PAC ID: 4688088198 Enrollment ID: I20240521002476 |
| Provider Name | Mercades Jewels Chevis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689226540 PECOS PAC ID: 4587101787 Enrollment ID: I20240806002222 |
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