MEDICARE: INFINITE BEINGS TREATMENT CENTER LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251B00000X	Case Management Agency
2	101YP2500X	Professional Counselor
3	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1063013589
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INFINITE BEINGS TREATMENT CENTER LLC

Provider Business Mailing Address
First Line	:	14641 GLADEBROOK DR STE 10
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77068-2807
Country	:	US
Telephone Number	:	806-705-7412
Fax Number	:	806-577-4573

Provider Business Practice Location Address
First Line	:	14641 GLADEBROOK DR STE 10
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77068-2807
Country	:	US
Telephone Number	:	806-705-7412
Fax Number	:	806-577-4573

Authorized Official
Title or Position	:	CLINICAL DIRECTOR
Name	:	DR. HANH SONGHAI VO
Credential	:	PHD
Telephone Number	:	806-705-7412

Provider Enumeration Date	:	11/02/2020
Last Update Date	:	10/07/2025

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