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
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