Organization
ABUNDANT LIFE THERAPEUTIC SERVICES TEXAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON FORD (PARTNER)
(408) 666-4685
Entity
Organization
Contact information
Practice address
260 N SAM HOUSTON PKWY E STE 350, HOUSTON, TX 77060-2024
(832) 300-8680
(832) 300-8685
Mailing address
260 N SAM HOUSTON PKWY E STE 350, HOUSTON, TX 77060-2024
(832) 300-8680
(832) 300-8685
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
68144
TX
251B00000X
Case Management Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
05/27/2015
Last updated
06/22/2019
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