Provider Demographics
NPI: | 1679340525 |
---|---|
Name: | BEST BEHAVIORAL & MEDICAL SERVICES PLLC |
Entity type: | Organization |
Organization Name: | BEST BEHAVIORAL & MEDICAL SERVICES PLLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | NURSE PRACTITIONER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | NDI |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | ESIERE |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | APRN |
Authorized Official - Phone: | 832-836-0275 |
Mailing Address - Street 1: | 1011 MYSTERIUM LN |
Mailing Address - Street 2: | |
Mailing Address - City: | RICHMOND |
Mailing Address - State: | TX |
Mailing Address - Zip Code: | 77469-2057 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 832-836-0275 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 1011 MYSTERIUM LN |
Practice Address - Street 2: | |
Practice Address - City: | RICHMOND |
Practice Address - State: | TX |
Practice Address - Zip Code: | 77469-2057 |
Practice Address - Country: | US |
Practice Address - Phone: | 832-836-0275 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2023-12-11 |
Last Update Date: | 2023-12-11 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 261QM1300X | Ambulatory Health Care Facilities | Clinic/Center | Multi-Specialty |
No | 261Q00000X | Ambulatory Health Care Facilities | Clinic/Center | |
No | 261QH0100X | Ambulatory Health Care Facilities | Clinic/Center | Health Service |
No | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center | Mental Health (Including Community Mental Health Center) |
No | 261QM0850X | Ambulatory Health Care Facilities | Clinic/Center | Adult Mental Health |
No | 261QM0855X | Ambulatory Health Care Facilities | Clinic/Center | Adolescent and Children Mental Health |
No | 261QM2500X | Ambulatory Health Care Facilities | Clinic/Center | Medical Specialty |
No | 261QP2300X | Ambulatory Health Care Facilities | Clinic/Center | Primary Care |
No | 261QR1300X | Ambulatory Health Care Facilities | Clinic/Center | Rural Health |
No | 310400000X | Nursing & Custodial Care Facilities | Assisted Living Facility | |
No | 3104A0625X | Nursing & Custodial Care Facilities | Assisted Living Facility | Assisted Living, Mental Illness |
No | 3104A0630X | Nursing & Custodial Care Facilities | Assisted Living Facility | Assisted Living, Behavioral Disturbances |
No | 314000000X | Nursing & Custodial Care Facilities | Skilled Nursing Facility | |
No | 323P00000X | Residential Treatment Facilities | Psychiatric Residential Treatment Facility |