Mona Mentors Community Agency

Primary specialty

TaxiTaxonomy code 344600000X

Legal business name

MONA MENTORS COMMUNITY AGENCY

Practice address

6420 Richmond Avendue
Suite 602
Houston, TX 77057

Phone

(832) 524-7884

Fax

(713) 266-2090

NPI assigned

Jun 10, 2010

Last updated

Jun 10, 2010By 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

Mona Swafford Ellis, CRISIS CHAPLAIN

Title

President

Phone

(832) 524-7884

Specialties & licenses 5

Addresses

Tax ID family

Mona Mentors Community Agency2 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.

• Mona Mentors Community Agency

  • Community/Behavioral Health Agency
  • Houston, TX
  • NPI 1134543507
  NPD tax ID

Locations

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

{
    "created_epoch": "1276128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276128000000",
    "number": "1275853491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1339 MACCLESBY LANE",
            "city": "CHANNEVIEW",
            "state": "TX",
            "postal_code": "77530",
            "telephone_number": "832-524-7884",
            "fax_number": "713-266-2090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 RICHMOND AVENDUE",
            "address_2": "SUITE 602",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77057",
            "telephone_number": "832-524-7884",
            "fax_number": "713-266-2090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONA MENTORS COMMUNITY AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-10",
        "last_updated": "2010-06-10",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "MONA",
        "authorized_official_middle_name": "SWAFFORD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-524-7884",
        "authorized_official_credential": "CRISIS CHAPLAIN"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "344600000X",
            "taxonomy_group": "",
            "desc": "Taxi",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zavher Momin, MD
• Shazia Mominkhawaja, FNP
• Jeannie Nkongho Momoh
• Moms United ABA LLC
• Mona Mentors Community Agency
• Mona Mentors Community Agency, Inc.
• Mona Mentors PLLC (Mona Ellis/Mona Therapy)
• Mona Odusola (Medicine Shoppe)
• Natilia Monachino, FNP
• Ashley Monaco, DO

• Taxi in Houston, TX
• Providers in Houston, TX by specialty
• Taxi in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2010; 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.