Divine Favor Transitional Living Facility

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

DIVINE FAVOR TRANSITIONAL LIVING FACILITY

Practice address

16714 Sidonie Dr
Houston, TX 77053-2562

Phone

(832) 338-6350

Fax

(833) 241-7558

NPI assigned

Nov 17, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Crystal Alexia JeffreyNPI 1548724404

Title

Owner

Phone

(832) 338-6350

Specialties & licenses 7

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Crystal Alexia Jeffrey, LCDC

  • Counselor
  • Houston, TX
  • NPI 1548724404

  Addiction (Substance Use Disorder)

  NPD Authorized official

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

{
    "created_epoch": "1700179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716681600000",
    "number": "1770358079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13010 OLEANDER BAY LN",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775682218",
            "telephone_number": "832-338-6350",
            "fax_number": "833-241-7558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16714 SIDONIE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770532562",
            "telephone_number": "832-338-6350",
            "fax_number": "833-241-7558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE FAVOR TRANSITIONAL LIVING FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-17",
        "last_updated": "2024-05-26",
        "certification_date": "2024-05-26",
        "status": "A",
        "authorized_official_last_name": "JEFFREY",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "ALEXIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-338-6350",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Mental Health Clinic/Center in Houston, TX
• Providers in Houston, TX by specialty
• Adult Mental Health Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2024; 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.