Organization
HOUSTON AREA COMMUNITY SERVICES, INC.
Active
Other names
Avenue 360 Health and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DOROTHEA NWOKEJI (CREDENTIALING SPECIALIST)
(832) 890-7225
Entity
Organization
Contact information
Practice address
2150 W 18TH ST, SUITE 300, HOUSTON, TX 77008-5200
(713) 426-0027
(713) 426-0211
Mailing address
2150 W 18TH ST, 300, HOUSTON, TX 77008-5200
(713) 426-0027
(713) 426-0211
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TH0100X
Health Service Psychologist
—
—
104100000X
Social Worker
—
—
122300000X
Dentist
—
—
133N00000X
Nutritionist
—
—
164W00000X
Licensed Practical Nurse
—
—
207Q00000X
Family Medicine Physician
—
—
261Q00000X
Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
363LW0102X
Women's Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202850801
—
TX
Enumeration date
04/06/2009
Last updated
06/12/2026
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