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Organization
DIVERSE BEHAVIORAL HEALTH GROUP
Active
Organization
DIVERSE BEHAVIORAL HEALTH GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMM MARIE PEREZ PHD, LPA, LPC-S (OWNER)
(346) 471-5200
Entity
Organization
Contact information
Practice address
11971 N GRAND PKWY E STE 200, NEW CANEY, TX 77357-1828
(346) 471-5200
(346) 474-0990
Mailing address
11971 N GRAND PKWY E STE 200207, NEW CANEY, TX 77357-1827
(346) 471-5200
(346) 474-0990
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
103TC1900X
Counseling Psychologist
—
NULL
103TC1900X
Counseling Psychologist
—
—
251B00000X
Case Management Agency
—
NULL
Other
Enumeration date
07/13/2022
Last updated
05/15/2026
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