SQUARE 1 FAMILY SERVICES


Address: 1400 Broadfield Blvd Ste 200, Houston, TX 77084-5162
Phone: 7579430252

SQUARE 1 FAMILY SERVICES (NPI# 1114425824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114425824
Entity Type Organization
Organization Name SQUARE 1 FAMILY SERVICES
Practice Address 1400 Broadfield Blvd Ste 200
Houston
TX 77084-5162
Practice Telephone 7579430252
Enumeration Date 2018-01-28
Last Update Date 2018-01-28
Authorized Official Name MR. ROLANDO WALLANCE (CEO / OWNER)
Authorized Official Telephone 7579430252
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Office Location

Street Address 1400 BROADFIELD BLVD STE 200
City HOUSTON
State TX
Zip Code 77084-5162

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1932673803 Cypress Behavioral Health and Wellness Co. Case Management 1400 Broadfield Blvd Ste 200, Houston, TX 77084-5162 2019-01-14
1215449038 Kanopy Labs, LLC. Technician, Health Information 1400 Broadfield Blvd Ste 200, Houston, TX 77084-5162 2017-11-02
1962929737 Raymond James St-germain IIi Social Worker 1400 Broadfield Blvd Ste 200, Houston, TX 77084-5162 2017-08-23
1063728251 Mind, Body & Soul Marriage & Family Therapist 1400 Broadfield Blvd Ste 200, Houston, TX 77084-5162 2010-08-25
1235397878 Felisse Sigman Counselor 1400 Broadfield Blvd Ste 200, Houston, TX 77084-5162 2008-05-30
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

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1194346635 Houston Wellness and Balance Community/Behavioral Health 15603 Manorford Ct, Houston, TX 77095-2270 2020-05-06
1669008009 Essential Health, LLC Community/Behavioral Health 2211 Norfolk St Ste 514, Houston, TX 77098-4056 2020-03-17
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Competitor

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City HOUSTON
Zip Code 77084

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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