# DEPELCHIN CHILDREN'S CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174626675
- **Authorized official:** BRIAN PATE (SENIOR VP/CFO)
- **Authorized official phone:** (713) 802-7716

## Contact information

- **Practice address:** 4950 MEMORIAL DRIVE, HOUSTON, TX 77007
- **Practice address phone:** (713) 730-2335
- **Practice address fax:** (713) 802-3801
- **Mailing address:** 4950 MEMORIAL DRIVE, HOUSTON, TX 77007
- **Mailing address phone:** (713) 730-2335
- **Mailing address fax:** (713) 802-3801

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 251B00000X | Case Management Agency | — | NULL | — |

## Other

- **Enumeration date:** 09/07/2006
- **Last updated:** 04/16/2019
