Organization
LIFE SPAN MENTAL HEALTH, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY VAN NORTON APN (NURSE PRACTITIONER)
(832) 723-3884
Entity
Organization
Contact information
Practice address
2424 W HOLCOMBE BLVD, 204, HOUSTON, TX 77030-1934
(713) 521-5930
(713) 521-5832
Mailing address
2424 W HOLCOMBE BLVD, 204, HOUSTON, TX 77030-1934
(713) 521-5930
(713) 521-5832
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
776641
TX
Other
Enumeration date
12/13/2013
Last updated
12/13/2013
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