MEDICARE: NEXPHASE BEHAVIORAL HEALTH LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center
2	261QM0850X	Adult Mental Health Clinic/Center
3	251S00000X	Community/Behavioral Health Agency
4	261QM1300X	Multi-Specialty Clinic/Center
5	251B00000X	Case Management Agency
6	261QM0855X	Adolescent and Children Mental Health Clinic/Center
7	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1265363923
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEXPHASE BEHAVIORAL HEALTH LLC

Provider Business Mailing Address
First Line	:	11821 EAST FWY STE 320
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77029-1975
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11821 EAST FWY STE 320
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77029-1975
Country	:	US
Telephone Number	:	832-628-3997
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ELVINA THOMAS
Credential	:
Telephone Number	:	832-844-0359

Provider Enumeration Date	:	05/28/2026
Last Update Date	:	05/31/2026

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