Healthcare Provider Details

I. General information

NPI: 1164011292
Provider Name (Legal Business Name): CHAYAH CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/13/2021
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13744 WHITMAN RD
BRENHAM TX
77833-1702
US

IV. Provider business mailing address

13744 WHITMAN RD
BRENHAM TX
77833-1702
US

V. Phone/Fax

Practice location:
  • Phone: 858-442-2870
  • Fax:
Mailing address:
  • Phone: 979-353-1137
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: SHERRI CLEMENT
Title or Position: CLINICAL DIRECTOR
Credential: LCSW
Phone: 979-400-8270