Organization
GREG AND SHANNONS PLACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE HOLDMAN PHD (CEO)
(832) 788-8574
Entity
Organization
Contact information
Practice address
1426 GENTLE BEND DR, MISSOURI CITY, TX 77489-4110
(281) 741-1387
Mailing address
9802 N HOUSTON ROSSLYN RD STE 4, HOUSTON, TX 77088-2132
(832) 788-8574
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
01/20/2023
Last updated
04/09/2025
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