Healthcare Provider Details

I. General information

NPI: 1033013636
Provider Name (Legal Business Name): NESCARE BEHAVIORAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10437 GREAT BASIN LN
CONROE TX
77384-2232
US

IV. Provider business mailing address

10437 GREAT BASIN LN
CONROE TX
77384-2232
US

V. Phone/Fax

Practice location:
  • Phone: 936-577-7766
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: NESLYN MATTHEW
Title or Position: OWNER
Credential:
Phone: 936-577-7766