Healthcare Provider Details

I. General information

NPI: 1548030190
Provider Name (Legal Business Name): CONCORD BEHAVIORAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2024
Last Update Date: 06/19/2025
Certification Date: 06/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9600 FONDREN RD STE B3
HOUSTON TX
77096-3682
US

IV. Provider business mailing address

7007 BALLINGER RIDGE LN
RICHMOND TX
77407-4058
US

V. Phone/Fax

Practice location:
  • Phone: 713-292-7361
  • Fax: 713-771-3801
Mailing address:
  • Phone: 713-292-7361
  • Fax: 713-771-3801

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MR. JOSEPH UKONU
Title or Position: DIRECTOR/CLINICIAN
Credential:
Phone: 832-275-2814