Organization
NIRVANA BEHAVIORAL SOLUTIONS,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRIAM NICOLE HARRIS (CREDENTIALING CONTACT)
(832) 301-8322
Entity
Organization
Contact information
Practice address
7111 HARWIN DR STE 130, HOUSTON, TX 77036-2130
(832) 301-3822
(855) 308-8322
Mailing address
7111 HARWIN DR STE 130, HOUSTON, TX 77036-2130
(832) 301-3822
(855) 308-8322
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1376046136
NPI
TX
Enumeration date
08/08/2019
Last updated
08/08/2019
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