MEDICARE: INNERWISDOM INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
2	283Q00000X	Psychiatric Hospital
3	251S00000X	Community/Behavioral Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255379202
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INNERWISDOM INC.

Provider Business Mailing Address
First Line	:	10777 STELLA LINK RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77025-5639
Country	:	US
Telephone Number	:	713-592-9292
Fax Number	:	713-839-8052

Provider Business Practice Location Address
First Line	:	10777 STELLA LINK RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77025-5639
Country	:	US
Telephone Number	:	713-592-9292
Fax Number	:	713-592-9296

Authorized Official
Title or Position	:	CEO
Name	:	ERIN ORZECK
Credential	:
Telephone Number	:	713-592-9292

Provider Enumeration Date	:	06/03/2006
Last Update Date	:	02/04/2026

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Directions to “INNERWISDOM INC. ” Practice Location

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