MEDICARE: HOUSTON MAINTENANCE CLINIC, INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	0000032	TX

General Provider Information

NPI Number	:	1578779856
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOUSTON MAINTENANCE CLINIC, INC

Provider Business Mailing Address
First Line	:	4608 MAIN ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77002-9714
Country	:	US
Telephone Number	:	713-527-0064
Fax Number	:	713-527-8633

Provider Business Practice Location Address
First Line	:	4608 MAIN ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77002-9714
Country	:	US
Telephone Number	:	713-527-0064
Fax Number	:	713-527-8633

Authorized Official
Title or Position	:	PROGRAM DIRECTOR
Name	:	MS. CECILIA C. OZUMBA
Credential	:
Telephone Number	:	713-527-0064

Provider Enumeration Date	:	05/15/2007
Last Update Date	:	08/22/2020

Similar Medicare Providers

1376656074 — DEPARTMENT OF VETERANS AFFAIRS
Practice Location Address:

4640 MAIN ST , 440
HOUSTON, TX
77002-9714

Practice Phone: 713-253-3777
Practice Fax:

1275697849 — MRS. CECILIA C. OZUMBA MA, LMFT, LPC,LCDC
Practice Location Address:

4608 MAIN ST
HOUSTON, TX
77002-9714

Practice Phone: 713-527-0065
Practice Fax: 713-527-8633

1073311817 — VALOR SERENITY SOLUTIONS LLC
Practice Location Address:

4600 MAIN ST
HOUSTON, TX
77002-9714

Practice Phone: 832-212-5255
Practice Fax:

1487191235 — SH DETOX HOUSTON, LLC
Practice Location Address:

9714 S GESSNER RD
HOUSTON, TX
77071-1004

Practice Phone: 832-240-3024
Practice Fax: 954-212-2328

1487328258 — MARY MUELLER SCHULTZ MS, LPC ASSOCIATE
Practice Location Address:

9714 S GESSNER RD
HOUSTON, TX
77071-1004

Practice Phone: 832-240-3024
Practice Fax: 832-240-3026

1467106310 — BERTHINIA ALICIA BROWN LCDC
Practice Location Address:

9714 S GESSNER RD
HOUSTON, TX
77071-1004

Practice Phone: 346-471-3791
Practice Fax:

Directions to “HOUSTON MAINTENANCE CLINIC, INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.