Organization
LIFE DEVELOPMENT & HEALTH SERVICES CORPORATION
Active
Organization
LIFE DEVELOPMENT & HEALTH SERVICES CORPORATION
Active
Other names
LDHS, LDHS Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AUSTIN GEORGE BENAMON (CHIEF EXECUTIVE OFFICER)
(678) 502-0202
Entity
Organization
Contact information
Practice address
5718 WESTHEIMER RD STE 1000, HOUSTON, TX 77057-9903
(866) 806-5347
(216) 710-6801
Mailing address
2000 AUBURN DR STE 200, BEACHWOOD, OH 44122-4328
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QD0000X
Dental Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
333600000X
Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
09/11/2018
Last updated
04/02/2021
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