| Tri-county Behavioral Healthcare | |
|
233 Sgt Ed Holcomb Blvd S Conroe TX 77304-1990 | |
| (936) 521-6100 | |
| (936) 760-2898 |
| Full Name | Tri-county Behavioral Healthcare |
|---|---|
| Speciality | Clinic/Center |
| Location | 233 Sgt Ed Holcomb Blvd S, Conroe, Texas |
| Authorized Official Name and Position | Stella Montemayor (CREDENTIALING SPECILIST) |
| Authorized Official Contact | 9365216109 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri-county Behavioral Healthcare Po Box 3067 Conroe TX 77305-3067 Ph: (936) 521-6100 | Tri-county Behavioral Healthcare 233 Sgt Ed Holcomb Blvd S Conroe TX 77304-1990 Ph: (936) 521-6100 |
| NPI Number | 1851333074 |
|---|---|
| Provider Enumeration Date | 06/12/2006 |
| Last Update Date | 07/16/2020 |
| Medicare PECOS PAC ID | 5991754772 |
|---|---|
| Medicare Enrollment ID | O20050119000528 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851333074 | NPI | - | NPPES |
| 081844501 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Pradan A Nathan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346522307 PECOS PAC ID: 0446244206 Enrollment ID: I20040413001733 |
| Provider Name | Miguel N Tan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1023029071 PECOS PAC ID: 2466364468 Enrollment ID: I20040913000434 |
| Provider Name | Robert E Bogan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609829795 PECOS PAC ID: 8325081920 Enrollment ID: I20050606000161 |
| Provider Name | Sharon Gunter-austin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386656072 PECOS PAC ID: 8426087594 Enrollment ID: I20050809000543 |
| Provider Name | Carolyn Eaton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134235435 PECOS PAC ID: 1355369943 Enrollment ID: I20051102000538 |
| Provider Name | Angelica Harrell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376656470 PECOS PAC ID: 5890796346 Enrollment ID: I20070125000289 |
| Provider Name | Michelle Garcia |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366599862 PECOS PAC ID: 9335233923 Enrollment ID: I20070913000026 |
| Provider Name | Maria C Quintero-conk |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659481307 PECOS PAC ID: 9234215591 Enrollment ID: I20080326000844 |
| Provider Name | Terry L Wells |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639104813 PECOS PAC ID: 8426197013 Enrollment ID: I20091119000520 |
| Provider Name | Holly Colleen Dubois |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518086511 PECOS PAC ID: 4880773092 Enrollment ID: I20100513001132 |
| Provider Name | Bernice James |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255664751 PECOS PAC ID: 0345370649 Enrollment ID: I20100614000210 |
| Provider Name | Dmitry V Listengarten |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669433173 PECOS PAC ID: 4486680931 Enrollment ID: I20100622000086 |
| Provider Name | Jonathan Sneed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093768764 PECOS PAC ID: 8426174384 Enrollment ID: I20100928001300 |
| Provider Name | Janet E Payne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669454468 PECOS PAC ID: 0547459604 Enrollment ID: I20110105001139 |
| Provider Name | Roberto O Gonzalez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154616894 PECOS PAC ID: 5991974842 Enrollment ID: I20110809000851 |
| Provider Name | Darice M Rodriguez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043479892 PECOS PAC ID: 0042453607 Enrollment ID: I20130829000271 |
| Provider Name | Kellye N Singletary |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063433324 PECOS PAC ID: 5698918480 Enrollment ID: I20130829000722 |
| Provider Name | Laura V Settlage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750726345 PECOS PAC ID: 5496999534 Enrollment ID: I20130911000688 |
| Provider Name | Ani Maria Tejada-lipten |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043478373 PECOS PAC ID: 7719116029 Enrollment ID: I20140208000023 |
| Provider Name | Linesse Vega |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114105897 PECOS PAC ID: 6002047206 Enrollment ID: I20140402000550 |
| Provider Name | Rohini Ravindran |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508091265 PECOS PAC ID: 4688899834 Enrollment ID: I20140702001883 |
| Provider Name | Victor G Stiebel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164423364 PECOS PAC ID: 7719889278 Enrollment ID: I20140811000605 |
| Provider Name | Iqnoor Bains |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861634677 PECOS PAC ID: 8224259007 Enrollment ID: I20141020001787 |
| Provider Name | Deana G Abdel-reheim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467696591 PECOS PAC ID: 7315169984 Enrollment ID: I20141114001510 |
| Provider Name | Natalia Kazakevich |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447570999 PECOS PAC ID: 6608180542 Enrollment ID: I20150805008027 |
| Provider Name | Cynthia G Medrano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053703504 PECOS PAC ID: 2769796291 Enrollment ID: I20160229002167 |
| Provider Name | Ashley N Byrd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801253778 PECOS PAC ID: 6305137795 Enrollment ID: I20160615000195 |
| Provider Name | Shantrae M Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992258131 PECOS PAC ID: 0547542672 Enrollment ID: I20170124002916 |
| Provider Name | Henry Chavez Cuffaro |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912348061 PECOS PAC ID: 7517236268 Enrollment ID: I20170712000593 |
| Provider Name | Arjun G Karkhanis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336465806 PECOS PAC ID: 9638476575 Enrollment ID: I20171208000083 |
| Provider Name | Susan Zink |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174843510 PECOS PAC ID: 5092993824 Enrollment ID: I20180117001120 |
| Provider Name | Samuel D Scott |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831584069 PECOS PAC ID: 9931461134 Enrollment ID: I20180328002205 |
| Provider Name | Jennifer L Boyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043790959 PECOS PAC ID: 0648522318 Enrollment ID: I20181008001223 |
| Provider Name | Christina S Williams |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396159679 PECOS PAC ID: 0648523282 Enrollment ID: I20181029000500 |
| Provider Name | Melody Hardway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235436064 PECOS PAC ID: 0547448532 Enrollment ID: I20181102002296 |
| Provider Name | Daniel R Lavin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750676532 PECOS PAC ID: 3072883859 Enrollment ID: I20181207000870 |
| Provider Name | Zachary Robert Drennan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841728011 PECOS PAC ID: 8325317076 Enrollment ID: I20190123000520 |
| Provider Name | Jamon Blood |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316333552 PECOS PAC ID: 8426341926 Enrollment ID: I20190130001747 |
| Provider Name | Kari Whatley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033505979 PECOS PAC ID: 3375853856 Enrollment ID: I20190404001661 |
| Provider Name | Elaina C Klimchuck |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326392721 PECOS PAC ID: 7517266422 Enrollment ID: I20190501000367 |
| Provider Name | Jennifer Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235793415 PECOS PAC ID: 0446583595 Enrollment ID: I20190605001864 |
| Provider Name | Kelly A Campbell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205240611 PECOS PAC ID: 9739478595 Enrollment ID: I20190828002958 |
| Provider Name | Jessica N Greene |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346628484 PECOS PAC ID: 6305159252 Enrollment ID: I20190918000066 |
| Provider Name | Shadi Lavasani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366891665 PECOS PAC ID: 7416238399 Enrollment ID: I20191203002552 |
| Provider Name | Grace H Kang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528563574 PECOS PAC ID: 2365799723 Enrollment ID: I20200403001665 |
| Provider Name | Stacen J Velvin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285124743 PECOS PAC ID: 8729335120 Enrollment ID: I20200601000022 |
| Provider Name | Theresia Lefang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942848742 PECOS PAC ID: 7618399486 Enrollment ID: I20200624001224 |
| Provider Name | Brian V Clinton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811481898 PECOS PAC ID: 2365799798 Enrollment ID: I20200812002785 |
| Provider Name | Azuka D Udolisa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730486077 PECOS PAC ID: 6608159876 Enrollment ID: I20201001001850 |
| Provider Name | Uloma Nwaku Ugbaja |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154965101 PECOS PAC ID: 5991115834 Enrollment ID: I20201105000543 |
| Provider Name | Shalynn Mcfadden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326639774 PECOS PAC ID: 7113332958 Enrollment ID: I20210209001105 |
| Provider Name | Judy A Ognibene |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164459103 PECOS PAC ID: 9234208695 Enrollment ID: I20210728000002 |
| Provider Name | Jeremiah Brewer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679968697 PECOS PAC ID: 8426366378 Enrollment ID: I20210830002106 |
| Provider Name | Michael Watkins |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932761640 PECOS PAC ID: 6901132620 Enrollment ID: I20220308002515 |
| Provider Name | Andrea D Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558006221 PECOS PAC ID: 2466830468 Enrollment ID: I20220603000313 |
| Provider Name | Colette Helene Kendrick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073074019 PECOS PAC ID: 0749669190 Enrollment ID: I20220615002394 |
| Provider Name | Cassandra Boduch |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083177497 PECOS PAC ID: 2163803487 Enrollment ID: I20220719000165 |
| Provider Name | Ricardo Escobar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154814606 PECOS PAC ID: 8426390238 Enrollment ID: I20220829003682 |
| Provider Name | Kyle M Hodges |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134756455 PECOS PAC ID: 4880015650 Enrollment ID: I20220831000479 |
| Provider Name | Van Nguyen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194214429 PECOS PAC ID: 0749664258 Enrollment ID: I20220901001924 |
| Provider Name | Jonathan D Artz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841828506 PECOS PAC ID: 5890126445 Enrollment ID: I20221007001150 |
| Provider Name | Ayotomide E Oyelakin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518481498 PECOS PAC ID: 9830509884 Enrollment ID: I20221013002099 |
| Provider Name | Karen Ding |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356832505 PECOS PAC ID: 0042686040 Enrollment ID: I20221018002451 |
| Provider Name | Marisela Munoz Puga |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710515994 PECOS PAC ID: 8325415540 Enrollment ID: I20221101001599 |
| Provider Name | John J Byun |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932763620 PECOS PAC ID: 5991035883 Enrollment ID: I20221107000363 |
| Provider Name | Tanveer M Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003343278 PECOS PAC ID: 0941661797 Enrollment ID: I20230726004048 |
| Provider Name | Lashay Dupree |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811667371 PECOS PAC ID: 6002277332 Enrollment ID: I20230802001780 |
| Provider Name | Amanda M Dannar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972285971 PECOS PAC ID: 7315300829 Enrollment ID: I20230831001535 |
| Provider Name | Haley M Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184248791 PECOS PAC ID: 2668893264 Enrollment ID: I20231031000274 |
| Provider Name | Lauren D Cole |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013780238 PECOS PAC ID: 9931557345 Enrollment ID: I20231126000032 |
| Provider Name | Brandee C Cuffee |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124663141 PECOS PAC ID: 7719335165 Enrollment ID: I20231127001602 |
| Provider Name | Sherry A Howard |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1700140027 PECOS PAC ID: 6406204544 Enrollment ID: I20231129002728 |
| Provider Name | Diana L Swaney |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548483118 PECOS PAC ID: 4789032863 Enrollment ID: I20231130000319 |
| Provider Name | Serena Flores |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457869547 PECOS PAC ID: 7517315559 Enrollment ID: I20231130002900 |
| Provider Name | Adrian Akerson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497459952 PECOS PAC ID: 5799133773 Enrollment ID: I20231201000602 |
| Provider Name | Crystal D Fonville |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1073397162 PECOS PAC ID: 2264880251 Enrollment ID: I20231201000972 |
| Provider Name | Dana T Futrell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083062137 PECOS PAC ID: 4688022684 Enrollment ID: I20231201001211 |
| Provider Name | Pei-fen Santistevan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649609827 PECOS PAC ID: 9032567961 Enrollment ID: I20231202000039 |
| Provider Name | John M Bragg |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437143344 PECOS PAC ID: 8224486444 Enrollment ID: I20231202000058 |
| Provider Name | Elizabeth Limon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598479578 PECOS PAC ID: 5496103335 Enrollment ID: I20231202000520 |
| Provider Name | Nanmari Ramos |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306555800 PECOS PAC ID: 5395193239 Enrollment ID: I20231202000546 |
| Provider Name | Nicole M Perez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205469236 PECOS PAC ID: 0840648796 Enrollment ID: I20231202000565 |
| Provider Name | Jennifer L Spillman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073720876 PECOS PAC ID: 1658729504 Enrollment ID: I20231202000613 |
| Provider Name | Tiffany A Jackson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053994079 PECOS PAC ID: 9436507381 Enrollment ID: I20231203000007 |
| Provider Name | Dora L Jimenez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275097586 PECOS PAC ID: 0345698296 Enrollment ID: I20231203000010 |
| Provider Name | Silvana C Minuta |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861720104 PECOS PAC ID: 2163870015 Enrollment ID: I20231203000020 |
| Provider Name | Sharhonda T Webster |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831894773 PECOS PAC ID: 3072961929 Enrollment ID: I20231203000025 |
| Provider Name | Alyssa R Watson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649987314 PECOS PAC ID: 4981052834 Enrollment ID: I20231203000031 |
| Provider Name | Serra N Rose |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326768656 PECOS PAC ID: 6709234651 Enrollment ID: I20231203000035 |
| Provider Name | Katy L Pitcock |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881129971 PECOS PAC ID: 3870942899 Enrollment ID: I20231215000085 |
| Provider Name | Tonja K Cordova |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841832748 PECOS PAC ID: 3779934955 Enrollment ID: I20240111004756 |
| Provider Name | Jeffrey Mendillo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265026835 PECOS PAC ID: 9830540012 Enrollment ID: I20240111004865 |
| Provider Name | Ariane C Utley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750145124 PECOS PAC ID: 3476997586 Enrollment ID: I20240216001789 |
Devotion Palliative Care Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 610 N Loop 336 E, 2nd Floor, Conroe, TX 77301 Phone: 281-742-1142 Fax: 346-998-1442 | |
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