Organization
HOUSTON NORTHWEST REHAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY WAYNE WILLIAMS LCDC (DIRECTOR)
(281) 353-8333
Entity
Organization
Contact information
Practice address
4405 SPRING CYPRESS RD, SUITE 111, SPRING, TX 77388-4400
(281) 353-8333
(281) 353-8367
Mailing address
PO BOX 12205, SPRING, TX 77391-2205
(281) 353-8333
(281) 353-8367
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
10256
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1825A
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
5392
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
9683
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
9689
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0086JB
BCBS OF TEXAS GROUP
TX
01
—
426564
VALUE OPTIONS
—
01
—
8513BH
BCBS OF TX INDIVIDUAL
TX
Enumeration date
07/01/2006
Last updated
01/17/2008
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