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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
09/11/2025
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