Organization
MONA MENTORS COMMUNITY AGENCY
Active
Other names
Mona Mentors Community Agency
Organization subpart
No
Provider details
NPI number
Authorized official
MONA SWAFFORD ELLIS MS, CHW (PRESIDENT)
(713) 266-2090
Entity
Organization
Contact information
Practice address
507 N SAM HOUSTON PKWY E, SUITE 125, HOUSTON, TX 77060-4021
(713) 266-2090
(800) 434-4305
Mailing address
1339 MACCLESBY LN, CHANNELVIEW, TX 77530-4822
(713) 266-2090
(800) 434-4305
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
172V00000X
Community Health Worker
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/06/2014
Last updated
07/07/2014
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