MEDICARE: RUMHAC-SL

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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1629823570
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RUMHAC-SL

Provider Business Mailing Address
First Line	:	8544 W BELLFORT AVE
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77071-2208
Country	:	US
Telephone Number	:	346-383-4785
Fax Number	:

Provider Business Practice Location Address
First Line	:	8007 BARNES RIDGE LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77072-0103
Country	:	US
Telephone Number	:	214-490-7268
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	ABIBATU K DABOH
Credential	:	THERAPIST
Telephone Number	:	346-383-4785

Provider Enumeration Date	:	04/23/2024
Last Update Date	:	12/25/2025

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Directions to “RUMHAC-SL ” Practice Location

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