Healthcare Provider Details

I. General information

NPI: 1750103685
Provider Name (Legal Business Name): JOSH NIKOL CUYOS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/30/2024
Last Update Date: 10/30/2024
Certification Date: 10/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11500 NORTHWEST FWY STE 304
HOUSTON TX
77092-6530
US

IV. Provider business mailing address

2801 RAVEN RIDGE DR
PEARLAND TX
77584-3445
US

V. Phone/Fax

Practice location:
  • Phone: 281-888-3158
  • Fax:
Mailing address:
  • Phone: 409-239-2994
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: