Healthcare Provider Details

I. General information

NPI: 1740160597
Provider Name (Legal Business Name): MEB HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2025
Last Update Date: 09/03/2025
Certification Date: 09/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2214 MICHIGAN AVE STE H
DWG TX
76013-5952
US

IV. Provider business mailing address

2214 MICHIGAN AVE STE H
DWG TX
76013-5952
US

V. Phone/Fax

Practice location:
  • Phone: 800-221-9001
  • Fax:
Mailing address:
  • Phone: 682-786-1088
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. JOAN MBENG WILLIAM
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 216-647-9992