Organization
KINGSTAR BEHAVIORAL HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FUNMILAYO AKINRIMISI CNP, RN (MANAGER)
(281) 536-3843
Entity
Organization
Contact information
Practice address
2006 THOMPSON RD STE 204, RICHMOND, TX 77469-4947
(832) 692-2503
(346) 239-1773
Mailing address
2006 THOMPSON RD STE 204, RICHMOND, TX 77469-4947
(832) 692-2503
(346) 239-1773
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184281560
—
TX
05
—
1285497404
—
TX
Enumeration date
06/11/2024
Last updated
06/11/2024
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