MEDICARE: CARE COMPLETE BEHAVIORAL HEALTH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	163WP0807X	Child & Adolescent Psychiatric/Mental Health Registered Nurse
2	251B00000X	Case Management Agency
3	251S00000X	Community/Behavioral Health Agency
4	363LP0808X	Psychiatric/Mental Health Nurse Practitioner
5	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1235709775
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARE COMPLETE BEHAVIORAL HEALTH

Provider Business Mailing Address
First Line	:	16520 STEINHAGEN RD
Second Line	:
City	:	CYPRESS
State	:	TX
Zip	:	77429-7173
Country	:	US
Telephone Number	:	832-831-3651
Fax Number	:	832-831-3652

Provider Business Practice Location Address
First Line	:	21922 BELLAIRE BLVD STE 600
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77407-3919
Country	:	US
Telephone Number	:	832-831-3651
Fax Number	:	832-831-3652

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	NECOLE JOHNSON
Credential	:
Telephone Number	:	855-664-0772

Provider Enumeration Date	:	06/28/2021
Last Update Date	:	06/29/2021

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Directions to “CARE COMPLETE BEHAVIORAL HEALTH ” Practice Location

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