Ava Behavioral Care LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

AVA BEHAVIORAL CARE LLC

Practice address

9825 Samantha Suzanne CT
Houston, TX 77025-1507

Phone

(240) 423-6528

NPI assigned

Sep 11, 2021

Last updated

Sep 11, 2021By 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

Mr. Victor Azubike Amobi, NURSE PRACTITIONER

Title

President

Phone

(240) 423-6528

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1631318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631318400000",
    "number": "1124797246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9825 SAMANTHA SUZANNE CT",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770251507",
            "telephone_number": "240-423-6528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9825 SAMANTHA SUZANNE CT",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770251507",
            "telephone_number": "240-423-6528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVA BEHAVIORAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-11",
        "last_updated": "2021-09-11",
        "certification_date": "2021-09-10",
        "status": "A",
        "authorized_official_last_name": "AMOBI",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "AZUBIKE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "240-423-6528",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Houston",
            "affiliation": "N",
            "endpointDescription": "Houston",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "9825 Samantha Suzanne Ct",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770251507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Houston, TX
• Providers in Houston, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.