Healthcare Provider Details

I. General information

NPI: 1154262624
Provider Name (Legal Business Name): ELLA'S PLACE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2026
Last Update Date: 04/01/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5606 WHITE BIRCH RUN
SPRING TX
77386-3844
US

IV. Provider business mailing address

5606 WHITE BIRCH RUN
SPRING TX
77386-3844
US

V. Phone/Fax

Practice location:
  • Phone: 713-864-9997
  • Fax:
Mailing address:
  • Phone: 713-864-9997
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: EARTHA JEAN JOHNSON
Title or Position: MEMBER
Credential: JD
Phone: 281-300-8282