Healthcare Provider Details

I. General information

NPI: 1356617120
Provider Name (Legal Business Name): BEHAVIORAL HEALTH ALLIANCE OF TEXAS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2012
Last Update Date: 03/27/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3015 RICHMOND AVE STE. 120-O
HOUSTON TX
77098-3103
US

IV. Provider business mailing address

3015 RICHMOND AVE STE. 120-O
HOUSTON TX
77098-3103
US

V. Phone/Fax

Practice location:
  • Phone: 281-400-3642
  • Fax: 281-400-3641
Mailing address:
  • Phone: 281-400-3642
  • Fax: 281-400-3641

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: RHONDA G PATRICK
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: LCSW
Phone: 281-400-3642