Organization
ABISOM BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EMMANUEL KAYODE SOFELA (DIRECTOR)
(832) 361-8577
Entity
Organization
Contact information
Practice address
15 SPRINGTIME CREEK DR, THE WOODLANDS, TX 77354-4163
(832) 361-8577
Mailing address
15 SPRINGTIME CREEK DR, THE WOODLANDS, TX 77354-4163
(832) 361-8577
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/30/2023
Last updated
05/30/2023
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