Organization
INTEGRATED COMMUNITY CARE NETWORK LLC
Active
Organization
INTEGRATED COMMUNITY CARE NETWORK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGELA OKOTIE-EBOH DNP, APRN (CEO)
(832) 831-3651
Entity
Organization
Contact information
Practice address
2420 FANNIN ST, HOUSTON, TX 77002-9114
(281) 687-3413
(832) 831-3652
Mailing address
16520 STEINHAGEN RD, CYPRESS, TX 77429-7173
(281) 687-3413
(832) 831-3652
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
104100000X
Social Worker
—
—
163W00000X
Registered Nurse
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
251B00000X
Case Management Agency
—
—
363L00000X
Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
07/11/2022
Last updated
07/07/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up