Organization
EDIFY BEHAVIORAL MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERIE BANOVIC (CREDENTIALING)
(832) 767-8551
Entity
Organization
Contact information
Practice address
2000 S DAIRY ASHFORD RD STE 575, HOUSTON, TX 77077-5737
(832) 808-0425
(832) 218-0204
Mailing address
2000 S DAIRY ASHFORD RD STE 575, HOUSTON, TX 77077-5737
(832) 808-0425
(832) 218-0204
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174110134
—
TX
05
—
4181307
—
TX
Enumeration date
12/23/2020
Last updated
04/09/2026
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