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NPI 1841162104

NPI 1841162104 : ABS MENTAL HEALTH LLC TX : HOUSTON, TX

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General NPI Number Information
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    NPI Number           |    1841162104
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    Entity Type          |    Organization 
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    Legal Business Name  |    ABS MENTAL HEALTH LLC TX 
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Dates
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    Enumeration Date     |    09/18/2025
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    Last Update Date     |    09/18/2025
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Provider Practice Location Address
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    Address Line         |    13115 WHITTINGTON DR APT 9310 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77077-2690
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    Country              |    US
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    Telephone            |    804-335-7549
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    13115 WHITTINGTON DR APT 9310 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77077-2690
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    Country              |    US
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    Telephone            |    804-335-7549
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     KENNETH RAY HENDERSON 
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    Credential           |    LMHP-R
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    Telephone            |    804-335-7549
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health 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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