FC Behaviorial Health PLLC

Primary specialty

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

Legal business name

FC BEHAVIORIAL HEALTH PLLC

Practice address

17810 Springtree Dr
Humble, TX 77396-1638

Phone

(713) 732-6191

NPI assigned

Nov 8, 2013

Organization subpart

No

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

Authorized official

Name

Florence Coaxum, LCSW

Title

President

Phone

(713) 732-6191

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1383868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383868800000",
    "number": "1609205798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17810 SPRINGTREE DR",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773961638",
            "telephone_number": "713-732-6191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17810 SPRINGTREE DR",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773961638",
            "telephone_number": "713-732-6191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FC BEHAVIORIAL HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-08",
        "last_updated": "2013-11-08",
        "status": "A",
        "authorized_official_last_name": "COAXUM",
        "authorized_official_first_name": "FLORENCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-732-6191",
        "authorized_official_credential": "LCSW"
    },
    "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": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Humble, TX
• Providers in Humble, 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 Nov 8, 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.