Organization
LONE STAR STATE HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FALLON JACKSON (CEO)
(305) 504-4259
Entity
Organization
Contact information
Practice address
9894 BISSONNET ST STE 710, HOUSTON, TX 77036-8244
(305) 504-4259
Mailing address
9894 BISSONNET ST STE 710, HOUSTON, TX 77036-8244
(305) 504-4259
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
08/19/2021
Last updated
01/19/2024
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