DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: VILLAGE LIFE CENTER TEXAS

MEDICARE: VILLAGE LIFE CENTER TEXAS
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
1101YM0800XMental Health Counselor
2251S00000XCommunity/Behavioral Health Agency
3251B00000XCase Management Agency

Other Identifiers

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

General Provider Information

NPI Number : 1790146942
Entity Type Code : Organization
Provider Name (Legal Business Name) : VILLAGE LIFE CENTER TEXAS
Provider Business Mailing Address
First Line : 9660 FALLS OF NEUSE ROAD
Second Line : SUITE 138, #273
City : RALEIGH
State : NC
Zip : 27615
Country : US
Telephone Number : 919-723-8799
Fax Number : 866-825-9703
Provider Business Practice Location Address
First Line : 2101 CRAWFORD ST STE 208
Second Line :
City : HOUSTON
State : TX
Zip : 77002-8941
Country : US
Telephone Number : 713-739-9725
Fax Number : 866-242-3803
Authorized Official
Title or Position : CEO
Name : AYANN CARR-BROWN
Credential : MBA
Telephone Number : 919-723-8799
Provider Enumeration Date : 03/16/2016
Last Update Date : 05/12/2026

Similar Medicare Providers

1609872365 — DR. JOHNNIE L. ROSE M.D.
Practice Location Address:
2101 CRAWFORD ST , STE 205
HOUSTON, TX
77002-8941
Practice Phone: 713-650-6699
Practice Fax: 713-650-6699
1861468696 — DR. ROY PETER HALL M.D.
Practice Location Address:
2101 CRAWFORD ST STE 207
HOUSTON, TX
77002-8941
Practice Phone: 281-407-6683
Practice Fax: 832-986-5640
1144274234 — DR. LEROY ODOM MD
Practice Location Address:
2101 CRAWFORD ST STE 300
HOUSTON, TX
77002-8941
Practice Phone: 713-658-8660
Practice Fax: 713-658-0205
1447460969 — DR. JOSEPH DANIEL COLLINS III D.D.S.
Practice Location Address:
2101 CRAWFORD ST STE 103
HOUSTON, TX
77002-8941
Practice Phone: 713-654-7756
Practice Fax: 713-654-7858
1710180823 — WORKERS COMP AND REHABILITATION CENTER PA
Practice Location Address:
2101 CRAWFORD ST STE 207
HOUSTON, TX
77002-8941
Practice Phone: 281-407-6683
Practice Fax: 832-986-5646
1093997272 — MQN INC
Practice Location Address:
2101 CRAWFORD , SUITE 200
HOUSTON, TX
77002-8941
Practice Phone: 713-526-4711
Practice Fax:

Directions to “VILLAGE LIFE CENTER TEXAS ” 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.