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Organization

ASTERIA PSYCHOTHERAPEUTIC INTERVENTIONS

Active
Other names
Asteria PI
Organization subpart
No

Provider details

NPI number
Authorized official
LATASHA S DAVIS LCSW (SOCIAL WORKER)
(817) 422-2665
Entity
Organization

Contact information

Practice address
3340 E WALNUT ST APT 168, PEARLAND, TX 77581-4312
(817) 422-2665
Mailing address
3340 E WALNUT ST APT 168, PEARLAND, TX 77581-4312
(817) 422-2665

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
163WH0200X
Home Health Registered Nurse
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center
320800000X
Mental Illness Community Based Residential Treatment Facility

Other

Enumeration date
07/30/2021
Last updated
08/12/2024
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