Organization Active NPI

Doctor of Behavioral Health

  • Professional Counselor
  • Montgomery, TX
National Provider Identifier
1710751292
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
DOCTOR OF BEHAVIORAL HEALTH
Practice address
4377 Spring Branch Rd
Montgomery, TX 77316-2601
Phone
(832) 294-8270
NPI assigned
Nov 14, 2023
Last updated
Nov 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Authorized official

Name
Prof. Lara Anne Neely, LPCNPI 1619543600
Title
Owner/Doctor
Phone
(832) 294-8270

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

4377 Spring Branch Rd
Montgomery, TX 77316-2601

Mailing address

4377 Spring Branch Rd
Montgomery, TX 77316-2601
Phone (832) 294-8270

National Provider Directory

National Provider Directory

Locations

4377 Spring Branch Rd
Montgomery, TX 77316
Phone (832) 294-8270

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1699920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699920000000",
    "number": "1710751292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4377 SPRING BRANCH RD",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773162601",
            "telephone_number": "832-294-8270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4377 SPRING BRANCH RD",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773162601",
            "telephone_number": "832-294-8270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTOR OF BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-14",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A",
        "authorized_official_last_name": "NEELY",
        "authorized_official_first_name": "LARA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "832-294-8270",
        "authorized_official_name_prefix": "Prof.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; 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.