PROSPERITY BEHAVIORAL CARE NPI 1710196233

NPI Information

NPI: 1710196233
Provider Name: PROSPERITY BEHAVIORAL CARE

Former Legal Business Name: PROSPERITY BEHAVIORAL CARE

Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
2646 S LOOP W STE 104
HOUSTON, TX
ZIP 77054
Phone: (832) 775-5203
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PROSPERITY BEHAVIORAL CARE is a professional counselor in Houston, TX. PROSPERITY BEHAVIORAL CARE NPI is 1710196233. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Prosperity Behavioral Care.

The provider's business location address is:

2646 S LOOP W STE 104
HOUSTON, TX
ZIP 77054-677
Phone: (832) 775-5203
Fax: (346) 223-1898

The provider's authorized official is Vanavia Naomi Richardson .
The authorized official title is Director and has the following contact phone number (832) 775-5203.

The enumeration date for this NPI number is 5/21/2007 and was last updated on 5/14/2019.

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	101YP2500X	Counselor	Professional	14325	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	189407301	MEDICAID	TEXAS

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: 11/14/2023

NPI Synchronization or Removal

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