Organization
BLUE HAVEN WELLNESS & SUPPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHONCERE WATSON (CEO)
(972) 503-5427
Entity
Organization
Contact information
Practice address
17350 STATE HIGHWAY 249 STE 22031161, HOUSTON, TX 77064-1147
(972) 503-5427
Mailing address
17350 STATE HIGHWAY 249 STE 220, HOUSTON, TX 77064-1132
(972) 503-5427
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
09/19/2025
Last updated
09/19/2025
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