MEDICARE: HOUSTON NORTHWEST REHAB, LLC

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	10256	TX
2	101YA0400X	Addiction (Substance Use Disorder) Counselor	5392	TX
3	101YA0400X	Addiction (Substance Use Disorder) Counselor	9689	TX
4	101YA0400X	Addiction (Substance Use Disorder) Counselor	9683	TX
5	101YA0400X	Addiction (Substance Use Disorder) Counselor	1825A	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	426564	OTHER		VALUE OPTIONS
2	0086JB	OTHER	TX	BCBS OF TEXAS GROUP
3	8513BH	OTHER	TX	BCBS OF TX INDIVIDUAL

General Provider Information

NPI Number	:	1942239140
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOUSTON NORTHWEST REHAB, LLC

Provider Business Mailing Address
First Line	:	PO BOX 12205
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77391-2205
Country	:	US
Telephone Number	:	281-353-8333
Fax Number	:	281-353-8367

Provider Business Practice Location Address
First Line	:	4405 SPRING CYPRESS RD
Second Line	:	SUITE 111
City	:	SPRING
State	:	TX
Zip	:	77388-4400
Country	:	US
Telephone Number	:	281-353-8333
Fax Number	:	281-353-8367

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MR. JEFFREY WAYNE WILLIAMS
Credential	:	LCDC
Telephone Number	:	281-353-8333

Provider Enumeration Date	:	07/01/2006
Last Update Date	:	01/17/2008

Similar Medicare Providers

1548383904 — JEFFREY WAYNE WILLIAMS LCDC
Practice Location Address:

4405 SPRING CYPRESS RD , SUITE 111
SPRING, TX
77388-4400

Practice Phone: 281-353-8333
Practice Fax: 281-353-8367

1477517464 — NANCY MANUBAY PA-C
Practice Location Address:

4400 PENN AVE
SINKING SPRING, PA
19608-8621

Practice Phone: 610-670-2522
Practice Fax: 610-670-7736

1003966326 — ROUNDYS SUPERMARKETS INC
Practice Location Address:

1735 W SILVER SPRING DR
GLENDALE, WI
53209-4400

Practice Phone: 414-247-8581
Practice Fax: 414-247-8603

1295886547 — FRANCIS DAVID HYMEL LPC, LMFT
Practice Location Address:

4400 N BIG SPRING ST # 200
MIDLAND, TX
79705-4623

Practice Phone: 432-687-4673
Practice Fax: 432-687-4673

1952630410 — DR. ORIT SIMHONI PH.D., OTR/L
Practice Location Address:

11370 KING GEORGE DR
SILVER SPRING, MD
20902-4400

Practice Phone: 540-303-3995
Practice Fax: 202-204-5860

1598001240 — JOHN MANUBAY MD LLC
Practice Location Address:

4400 PENN AVE
SINKING SPRING, PA
19608-8621

Practice Phone: 610-670-2522
Practice Fax: 610-670-7736

Directions to “HOUSTON NORTHWEST REHAB, LLC ” 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 © 2007-2025 (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.