Organization
PLATFORM BEHAVIORAL SUPPORT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMUEL IZEKOR (DIRECTOR)
(816) 729-3198
Entity
Organization
Contact information
Practice address
9896 BISSONNET ST STE 410, HOUSTON, TX 77036-8155
(919) 749-6373
Mailing address
9896 BISSONNET ST STE 410, HOUSTON, TX 77036-8155
(713) 360-7375
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
09/23/2019
Last updated
09/14/2022
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