Healthcare Provider Details

I. General information

NPI: 1174409668
Provider Name (Legal Business Name): CUDDLE BUDDYZ
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2025
Last Update Date: 08/12/2025
Certification Date: 08/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2510 LEELAND ST
HOUSTON TX
77003-5204
US

IV. Provider business mailing address

2510 LEELAND ST
HOUSTON TX
77003-5204
US

V. Phone/Fax

Practice location:
  • Phone: 713-539-0172
  • Fax:
Mailing address:
  • Phone: 713-539-0172
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code323P00000X
TaxonomyPsychiatric Residential Treatment Facility
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: LASON ANDERSON
Title or Position: OWNER
Credential:
Phone: 713-539-0172