Diverse Behavioral Health Group

LBN: Diverse Behavioral Health Group
Diverse Behavioral Health Group is an health care organization with primary practice located at 11971 N Grand Pkwy E Ste 200207 , New Caney TX 77357-1827. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty. Diverse Behavioral Health Group can be contacted via phone (346) 471-5200, or through Perez, Kimm M. via phone (346) 471-5200.

Contact Information

Primary practice address
11971 N Grand Pkwy E Ste 200207 New Caney TX 77357-1827
Phone: (346) 471-5200
Fax: (346) 474-0990
Website:
Map and Directions
Authorized official contact:
Name: Perez, Kimm M.
Phone: (346) 471-5200

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Counseling 103TC1900X

Profile Details

NPI number 1861126005
LBN Legal business name Diverse Behavioral Health Group
DBA Doing business as
Authorized official Perez, Kimm M.
Entity Organization
Organization subpart 1 No
Enumeration date Jul 13th, 2022
Last updated Mar 27th, 2024 - about 6 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861126005 NPPES
Texas MEDICAID 336059606

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