Organization
TEXAS NORTHSTREAM WELLCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANTALE SEALS (OWNER)
(404) 518-2295
Entity
Organization
Contact information
Practice address
701 N POST OAK RD STE 115, HOUSTON, TX 77024-3810
(404) 518-2295
(713) 804-5125
Mailing address
701 N POST OAK RD STE 115, HOUSTON, TX 77024-3810
(404) 518-2295
(713) 804-5152
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
261QR0800X
Recovery Care Clinic/Center
—
—
Other
Enumeration date
02/23/2021
Last updated
04/07/2022
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