Organization Active NPI

Ebony Behavioral Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Raymondville, TX
National Provider Identifier
1093480725
Registry record updated Aug 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
EBONY BEHAVIORAL INC.
Practice address
14201 FM 1761
Raymondville, TX 78580-4771
Phone
(956) 407-7370
NPI assigned
Aug 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2021

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

Authorized official

Name
Mr. Louis Alejandro Cuevas
Title
C.E.O.
Phone
(956) 407-7370

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

14201 FM 1761
Raymondville, TX 78580-4771

Mailing address

14201 FM 1761
Raymondville, TX 78580-4771
Phone (956) 407-7370

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1628812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628812800000",
    "number": "1093480725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14201 FM 1761",
            "city": "RAYMONDVILLE",
            "state": "TX",
            "postal_code": "785804771",
            "telephone_number": "956-407-7370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14201 FM 1761",
            "city": "RAYMONDVILLE",
            "state": "TX",
            "postal_code": "785804771",
            "telephone_number": "956-407-7370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EBONY BEHAVIORAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-13",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A",
        "authorized_official_last_name": "CUEVAS",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "ALEJANDRO",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "956-407-7370",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raymondville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2021; 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.