MEDICARE: CENTER FOR BEHAVIORAL HEALTH

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101Y00000X	Counselor
2	101YA0400X	Addiction (Substance Use Disorder) Counselor
3	103K00000X	Behavior Analyst
4	106H00000X	Marriage & Family Therapist
5	251S00000X	Community/Behavioral Health Agency
6	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1477856052
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTER FOR BEHAVIORAL HEALTH

Provider Business Mailing Address
First Line	:	176 UVALDE RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77015-1506
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	176 UVALDE RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77015-1506
Country	:	US
Telephone Number	:	713-455-7008
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATIVE ASSISTANT
Name	:	MARIA SILVA
Credential	:
Telephone Number	:	713-455-7008

Provider Enumeration Date	:	12/21/2010
Last Update Date	:	12/21/2010

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Directions to “CENTER FOR BEHAVIORAL HEALTH ” Practice Location

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