Provider Demographics
NPI:1548982705
Name:EMMANUEL BEHAVIORAL HEALTH INC
Entity type:Organization
Organization Name:EMMANUEL BEHAVIORAL HEALTH INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMIN
Authorized Official - Prefix:MR
Authorized Official - First Name:SERGE
Authorized Official - Middle Name:
Authorized Official - Last Name:UKAWILU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-408-7722
Mailing Address - Street 1:6666 HARWIN DR STE 345
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-2261
Mailing Address - Country:US
Mailing Address - Phone:832-649-2951
Mailing Address - Fax:
Practice Address - Street 1:6666 HARWIN DR STE 345
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-2261
Practice Address - Country:US
Practice Address - Phone:832-649-2951
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-14
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management