# HOUSTON NORTHWEST REHAB, LLC

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

## Provider details

- **NPI number:** 1942239140
- **Authorized official:** MR. JEFFREY WAYNE WILLIAMS LCDC (DIRECTOR)
- **Authorized official phone:** (281) 353-8333

## Contact information

- **Practice address:** 4405 SPRING CYPRESS RD, SUITE 111, SPRING, TX 77388-4400
- **Practice address phone:** (281) 353-8333
- **Practice address fax:** (281) 353-8367
- **Mailing address:** PO BOX 12205, SPRING, TX 77391-2205
- **Mailing address phone:** (281) 353-8333
- **Mailing address fax:** (281) 353-8367

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 10256 | TX | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 1825A | TX | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 5392 | TX | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 9683 | TX | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 9689 | TX | — |

## Other

- **Enumeration date:** 07/01/2006
- **Last updated:** 01/17/2008