Innerwisdom

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

52783 Issued in TX

Legal business name

INNERWISDOM

Practice address

13038 Bamboo Forest TRL
Houston, TX 77025

Phone

(713) 592-9292

Fax

(713) 933-2269

NPI assigned

Sep 6, 2013

Last updated

Sep 6, 2013By 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. William Embry Price, LCSW

Title

Licensed Therapist

Phone

(713) 592-9292

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thomas Dougherty

  • Research Study Specialist
  • Houston, TX
  • NPI 1497056873
  NPD

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

{
    "created_epoch": "1378425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378425600000",
    "number": "1528493707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13038 BAMBOO FOREST TRL",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77025",
            "telephone_number": "713-592-9292",
            "fax_number": "713-933-2269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13038 BAMBOO FOREST TRL",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77025",
            "telephone_number": "713-592-9292",
            "fax_number": "713-933-2269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNERWISDOM",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-06",
        "last_updated": "2013-09-06",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "EMBRY",
        "authorized_official_title_or_position": "LICENSED THERAPIST",
        "authorized_official_telephone_number": "713-592-9292",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "TX",
            "license": "52783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Innerlight Co PLLC
• Innerlight Community Advocates PLLC
• Innerspace PLLC
• Innerva Diagnostics
• Innervisions Counseling and Testing
• Innerwisdom Inc.
• Andrew Michael Innes
• Grace of God Innocent-Utulu
• Innolife Properties Inc
• Innotech Imaging

• Health Maintenance Organization in Houston, TX
• Providers in Houston, TX by specialty
• Health Maintenance Organization in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2013; 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.