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General NPI Number Information
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NPI Number | 1134496532
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Entity Type | Organization
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Legal Business Name | ACCOUNTABLE SOURCE
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Dates
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Enumeration Date | 11/30/2011
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Last Update Date | 03/21/2025
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Provider Practice Location Address
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Address Line | 5710 CENTRALCREST ST
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City | HOUSTON
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State | TX
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Zip | 77092-7004
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Country | US
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Telephone | 713-686-8548
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Fax | 713-686-8559
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Provider Business Mailing Address
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Address Line | 5710 CENTRALCREST ST
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City | HOUSTON
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State | TX
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Zip | 77092-7004
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Country | US
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Telephone | 713-686-8548
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Fax | 713-686-8559
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. GULLESE D SCOTT
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Credential |
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Telephone | 832-212-2131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number | 0000
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number |
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License Number State | TX
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Taxonomy #6
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Taxonomy Code | 323P00000X
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Taxonomy Name | Psychiatric Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 385HR2055X
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Taxonomy Name | Child Mental Illness Respite Care
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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