Behavioral Therapy of Clear Lake, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

BEHAVIORAL THERAPY OF CLEAR LAKE, LLC

Practice address

950 Gemini St
Houston, TX 77058-2730

Phone

(832) 224-4783

Fax

(832) 284-4247

NPI assigned

Mar 22, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Waylan Jerell Booker, LCDC

Title

Counselor

Phone

(832) 756-6251

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1711065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711065600000",
    "number": "1275383457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 GEMINI ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582730",
            "telephone_number": "832-224-4783",
            "fax_number": "832-284-4247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 GEMINI ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582730",
            "telephone_number": "832-224-4783",
            "fax_number": "832-284-4247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL THERAPY OF CLEAR LAKE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-22",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A",
        "authorized_official_last_name": "BOOKER",
        "authorized_official_first_name": "WAYLAN",
        "authorized_official_middle_name": "JERELL",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "832-756-6251",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCDC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Behavioral Life Associates
• Behavioral Medicine of Houston PA
• Behavioral Medicine of Houston,PA
• Behavioral Rehabilitation Solutions, LP
• Behavioral Steps of Houston
• Keywan Behbahani, MD
• Jason W Behler
• Ramy Behman, MD
• Tiffany Behn, PHLEBOTOMIST
• Behnam Med LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Houston, TX
• Providers in Houston, TX by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; 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.