Organization
PSYCH ON SITE OF TENNESSEE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEVAIL VINSON (PRES/CEO)
(713) 528-2328
Entity
Organization
Contact information
Practice address
3007 CAROLINE ST, HOUSTON, TX 77004-2822
(713) 528-2328
Mailing address
3007 CAROLINE ST, HOUSTON, TX 77004-2822
(713) 528-2328
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
10/23/2013
Last updated
10/23/2013
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