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NPI Code Detail

MEDICARE: ALEXA BEHAVIORAL AND MENTAL HEALTH TREATMENT CENTER LLC

MEDICARE: ALEXA BEHAVIORAL AND MENTAL HEALTH TREATMENT CENTER LLC
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1163WW0000XWound Care Registered Nurse
2207R00000XInternal Medicine Physician
3363LP2300XPrimary Care Nurse Practitioner
4261QM0850XAdult Mental Health Clinic/Center
5261Q00000XClinic/Center
6261QM0855XAdolescent and Children Mental Health Clinic/Center
7363LF0000XFamily Nurse Practitioner
8363LP0808XPsychiatric/Mental Health Nurse Practitioner
9163WP0807XChild & Adolescent Psychiatric/Mental Health Registered Nurse
10261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1356163711
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALEXA BEHAVIORAL AND MENTAL HEALTH TREATMENT CENTER LLC
Provider Business Mailing Address
First Line : 6913 CULLEN BLVD STE A
Second Line :
City : HOUSTON
State : TX
Zip : 77021-5009
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6913 CULLEN BLVD STE A
Second Line :
City : HOUSTON
State : TX
Zip : 77021-5009
Country : US
Telephone Number : 206-412-2111
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MARY MITCHELL
Credential :
Telephone Number : 206-412-4011
Provider Enumeration Date : 10/28/2024
Last Update Date : 11/19/2025

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Directions to “ALEXA BEHAVIORAL AND MENTAL HEALTH TREATMENT CENTER LLC ” Practice Location

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