Organization
PRESIDIO BEHAVIORAL HEALTH AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHY DAVIS FNP-BC (OWNER)
(832) 492-6842
Entity
Organization
Contact information
Practice address
14602 PRESIDIO SQUARE BLVD, HOUSTON, TX 77083-1654
(832) 492-6842
Mailing address
14602 PRESIDIO SQUARE BLVD, HOUSTON, TX 77083-1654
(832) 492-6842
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
310400000X
Assisted Living Facility
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
Other
Enumeration date
01/08/2024
Last updated
10/15/2024
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