Healthcare Provider Details

I. General information

NPI: 1417871104
Provider Name (Legal Business Name): FIRSTPOINT PSYCHIATRY VAN VLECK PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

170 S 4TH STREET
VAN VLECK TX
77482
US

IV. Provider business mailing address

1910 GRAND WILLOW LN
RICHMOND TX
77469-6343
US

V. Phone/Fax

Practice location:
  • Phone: 979-330-9972
  • Fax: 979-330-7794
Mailing address:
  • Phone: 979-330-9972
  • Fax: 979-330-7794

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: JOANN PAULINE CHARLES-BABB
Title or Position: MANAGER
Credential: NP
Phone: 979-330-9972