Healthcare Provider Details

I. General information

NPI: 1801260021
Provider Name (Legal Business Name): NDANDO HOUSE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/26/2015
Last Update Date: 11/26/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13703 HUDSON CT
SUGAR LAND TX
77498-6318
US

IV. Provider business mailing address

13703 HUDSON CT
SUGAR LAND TX
77498-6318
US

V. Phone/Fax

Practice location:
  • Phone: 713-292-8739
  • Fax:
Mailing address:
  • Phone: 713-292-8739
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name: MR. VICTOR NDANDO-NGOO
Title or Position: CEO
Credential:
Phone: 713-292-8739