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Organization
MAHONEY HEALTH LLC
Active
Organization
MAHONEY HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NECOLE JOHNSON (CREDENTIALING DIRECTOR)
(281) 533-6880
Entity
Organization
Contact information
Practice address
140 CYPRESS STATION DR STE 100, HOUSTON, TX 77090-1694
(325) 340-3748
(832) 941-1153
Mailing address
140 CYPRESS STATION DR STE 100, HOUSTON, TX 77090-1694
(832) 534-0374
(832) 941-1153
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
NULL
291U00000X
Clinical Medical Laboratory
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/06/2021
Last updated
09/23/2025
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