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Organization
MONA MENTORS COMMUNITY AGENCY, INC.
Active
Organization
MONA MENTORS COMMUNITY AGENCY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MONA ELLIS P/CHW (PRESIDENT)
(713) 266-2090
Entity
Organization
Contact information
Practice address
6420 RICHMOND AVE, SUITE 602, HOUSTON, TX 77057-5929
(713) 266-2080
(800) 434-4305
Mailing address
1339 MACCLESBY LN, CHANNELVIEW, TX 77530-4822
(713) 266-2080
(800) 434-4305
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12165
THHS
TX
Enumeration date
11/22/2011
Last updated
11/22/2011
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