# ABISOM BEHAVIORAL HEALTH LLC

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

## Provider details

- **NPI number:** 1386337004
- **Authorized official:** MR. EMMANUEL KAYODE SOFELA (DIRECTOR)
- **Authorized official phone:** (832) 361-8577

## Contact information

- **Practice address:** 15 SPRINGTIME CREEK DR, THE WOODLANDS, TX 77354-4163
- **Practice address phone:** (832) 361-8577
- **Mailing address:** 15 SPRINGTIME CREEK DR, THE WOODLANDS, TX 77354-4163
- **Mailing address phone:** (832) 361-8577

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 05/30/2023
- **Last updated:** 05/30/2023