Organization
DIVERSE BEHAVIORAL HEALTH GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMM M. PEREZ (OWNER)
(346) 471-5200
Entity
Organization
Contact information
Practice address
11971 N GRAND PKWY E STE 200, NEW CANEY, TX 77357-1828
(346) 471-5200
(346) 474-0990
Mailing address
11971 N GRAND PKWY E STE 200207, NEW CANEY, TX 77357-1827
(346) 471-5200
(346) 474-0990
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103TC1900X
Counseling Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
336059606
—
TX
Enumeration date
07/13/2022
Last updated
06/18/2025
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