LEADINGEDGE BEHAVIOURAL HEALTH AND SERVICES PLLC NPI 1013637461

NPI Information

NPI: 1013637461
Provider Name: LEADINGEDGE BEHAVIOURAL HEALTH AND SERVICES PLLC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
704 LONGMIRE RD
CONROE, TX
ZIP 77304
Phone: (936) 661-3038
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LEADINGEDGE BEHAVIOURAL HEALTH AND SERVICES PLLC is a psychiatric/mental health nurse practitioner in Conroe, TX. LEADINGEDGE BEHAVIOURAL HEALTH AND SERVICES PLLC NPI is 1013637461. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

704 LONGMIRE RD
CONROE, TX
ZIP 77304-850
Phone: (936) 661-3038
Fax: (214) 758-7136

The provider's authorized official is Oluwatobi Faith Adeleke .
The authorized official title is Owner and has the following contact phone number (936) 661-3038.

The enumeration date for this NPI number is 8/29/2022 and was last updated on 11/27/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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