Organization
KIRA DIONNE WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS TUKRIA D WATLEY MA,LCDC, CART (CEO)
(904) 613-7836
Entity
Organization
Contact information
Practice address
13150 FM 529 RD STE 122, HOUSTON, TX 77041-2557
(713) 234-0680
Mailing address
13150 FM 529 RD STE 122, HOUSTON, TX 77041-2557
(713) 234-0680
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
05/31/2021
Last updated
05/31/2021
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