Healthcare Provider Details

I. General information

NPI: 1598121709
Provider Name (Legal Business Name): PALMS AT HOUSTON HEIGHTS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2016
Last Update Date: 01/05/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 WAVERLY ST
HOUSTON TX
77008-6760
US

IV. Provider business mailing address

1010 WAVERLY ST
HOUSTON TX
77008-6760
US

V. Phone/Fax

Practice location:
  • Phone: 832-804-8196
  • Fax: 866-804-7241
Mailing address:
  • Phone: 832-804-8196
  • Fax: 866-804-7241

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: DR. STEVEN L. HOUSEWORTH
Title or Position: CEO
Credential: PHD, LMFT
Phone: 832-248-4636