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Organization Active NPI

Gulf Shores Outpatient Substance Center

Doing business as Gulf Shores Academy Inc.

  • Preferred Provider Organization
  • Houston, TX
National Provider Identifier
1396920880
Registry record updated Jan 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
1684 Issued in TX
Legal business name
GULF SHORES OUTPATIENT SUBSTANCE CENTER
Doing business as
Gulf Shores Academy Inc.
Practice address
9896 Bissonnet St
250
Houston, TX 77036-8104
Phone
(713) 773-3443
Fax
(713) 773-3565
NPI assigned
Jan 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2008

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

Authorized official

Name
Miss Marian Johnson, M.ED.
Title
Ceo
Phone
(713) 773-3443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 1684 TX Primary

Addresses

Primary practice location

9896 Bissonnet St
250
Houston, TX 77036-8104

Mailing address

9896 Bissonnet St
250
Houston, TX 77036-8104
Phone (713) 773-3443

Other names 1

  • Gulf Shores Academy Inc. Doing business as

National Provider Directory

National Provider Directory

Locations

9896 Bissonnet St
Ste 250
Houston, TX 77036
Phone (713) 773-3443

NPI Registry JSON

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

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199318400000",
    "number": "1396920880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9896 BISSONNET ST",
            "address_2": "250",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770368104",
            "telephone_number": "713-773-3443",
            "fax_number": "713-773-3565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9896 BISSONNET ST",
            "address_2": "250",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770368104",
            "telephone_number": "713-773-3443",
            "fax_number": "713-773-3565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF SHORES OUTPATIENT SUBSTANCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-03",
        "last_updated": "2008-01-03",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MARIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "713-773-3443",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "M.ED."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "TX",
            "license": "1684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gulf Shores Academy Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2008; 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.