Healthcare Provider Details

I. General information

NPI: 1285268029
Provider Name (Legal Business Name): OCD INSTITUTE HOUSTON, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/02/2020
Last Update Date: 04/07/2023
Certification Date: 04/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

708 E 19TH ST
HOUSTON TX
77008-4488
US

IV. Provider business mailing address

708 E 19TH ST
HOUSTON TX
77008-4488
US

V. Phone/Fax

Practice location:
  • Phone: 713-526-5055
  • Fax:
Mailing address:
  • Phone: 713-526-5055
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: ELIZABETH MCINGVALE
Title or Position: DIRECTOR
Credential: PH.D., LCSW
Phone: 713-306-9133