=====================================================
General NPI Number Information
=====================================================
NPI Number | 1154262624
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ELLA'S PLACE
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/01/2026
-----------------------------------------------------
Last Update Date | 04/01/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5606 WHITE BIRCH RUN
-----------------------------------------------------
City | SPRING
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77386-3844
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 713-864-9997
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5606 WHITE BIRCH RUN
-----------------------------------------------------
City | SPRING
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77386-3844
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 713-864-9997
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MEMBER
-----------------------------------------------------
Name | EARTHA JEAN JOHNSON
-----------------------------------------------------
Credential | JD
-----------------------------------------------------
Telephone | 281-300-8282
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 320800000X
-----------------------------------------------------
Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------