Southern Comfort Behavioral Health Center, LLC.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SOUTHERN COMFORT BEHAVIORAL HEALTH CENTER, LLC.

Doing business as

Southern Comfort BHC

Practice address

9146 Eastex Fwy
Houston, TX 77093-7020

Phone

(832) 426-4697

Fax

(832) 426-4996

NPI assigned

Mar 29, 2013

Last updated

Aug 24, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Cherrelle M PhillipsNPI 1528341492

Title

Owner/Executive Director

Phone

(832) 969-7464

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• SOUTHERN COMFORT BHC Doing business as

Tax ID family

Southern Comfort Behavioral Health Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Southern Comfort Behavioral Health Center

  • Clinical Social Worker
  • Houston, TX
  • NPI 1932453008
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cherrelle M Phillips

  • Home Health Agency
  • Houston, TX
  • NPI 1528341492
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1364515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377302400000",
    "number": "1083957815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9146 EASTEX FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770937020",
            "telephone_number": "832-426-4697",
            "fax_number": "832-426-4996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9146 EASTEX FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770937020",
            "telephone_number": "832-426-4697",
            "fax_number": "832-426-4996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN COMFORT BEHAVIORAL HEALTH CENTER, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-29",
        "last_updated": "2013-08-24",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "CHERRELLE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "832-969-7464"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1528341492",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1932453008",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "193116404",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTHERN COMFORT BHC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Southerland
• Warren Allen Southerland, MD
• Southern Anesthesia Services, PLLC
• Southern Care Transport LLC
• Southern Comfort Behavioral Health Center
• Southern Dental at Heights PLLC
• Southern Dental at Palm Center PLLC
• Southern Dental at Spring Branch PLLC
• Southern Dental at Willowbrook PLLC
• Southern Dental Specialists PLLC

• Clinical Social Worker in Houston, TX
• Providers in Houston, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.