Citadel Healthcare Services LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

CITADEL HEALTHCARE SERVICES LLC

Practice address

3542 Gore Creek Dr
Katy, TX 77494-6202

Phone

(713) 935-5847

NPI assigned

Sep 19, 2021

Organization subpart

No

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

Authorized official

Name

Eyituoyo Osaro Onuwaje

Title

Ceo

Phone

(713) 935-5847

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1632009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632009600000",
    "number": "1487324539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3542 GORE CREEK DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774946202",
            "telephone_number": "713-935-5847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3542 GORE CREEK DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774946202",
            "telephone_number": "713-935-5847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITADEL HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-19",
        "last_updated": "2021-09-19",
        "certification_date": "2021-09-19",
        "status": "A",
        "authorized_official_last_name": "ONUWAJE",
        "authorized_official_first_name": "EYITUOYO",
        "authorized_official_middle_name": "OSARO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "713-935-5847"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Katy, TX
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.