Organization
DEVEREUX FOUNDATION
Active
Parent organization
DEVEREUX FOUNDATION
Other names
Devereux Texas Treatment Network
Organization subpart
Yes
Provider details
NPI number
Legal business name
DEVEREUX FOUNDATION
Authorized official
MS. PAMELA E. HELM (EXECUTIVE DIRECTOR)
(281) 335-1000
Entity
Organization
Contact information
Practice address
1150 DEVEREUX DR, OUTPATIENT CLINIC, LEAGUE CITY, TX 77573-2043
(281) 332-8608
(281) 332-5283
Mailing address
1150 DEVEREUX DR, OUTPATIENT CLINIC, LEAGUE CITY, TX 77573-2043
(281) 332-8608
(281) 332-5283
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
TMHP083851801
TX
101YP2500X
Professional Counselor
TMHP083851801
TX
103T00000X
Psychologist
TMHP083851801
TX
106H00000X
Marriage & Family Therapist
TMHP083851801
TX
2084P0800X
Psychiatry Physician
TMHP083851801
TX
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
TMHP083851801
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000718
HOSPITAL LICENSE
TX
05
—
083851801
—
TX
Enumeration date
02/09/2006
Last updated
04/20/2009
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