Tri-County Behavioral Healthcare
Organization Active NPI Multi-Specialty Clinic/Center · Conroe, TX
NPI 1851333074 · NPPES record last updated Jul 16, 2020
Key facts
- NPI
- 1851333074
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Multi-Specialty Clinic/Center 261QM1300X
- Legal business name
- TRI-COUNTY BEHAVIORAL HEALTHCARE
- Practice address
- 233 SGT Ed Holcomb Blvd S
Conroe, TX 77304-1990 - Phone
- (936) 521-6100
- Fax
- (936) 760-2898
- NPI assigned
- Jun 12, 2006
- Organization subpart
- No
Authorized official
- Name
- Stella Montemayor
- Title
- Credentialing Specilist
- Phone
- (936) 521-6109
Practitioners 158
-
Pamela Linette Allahar, APRN NP
-
Draughn Attaya Emerson, LCSW
-
Andrea Scott, PMHNP - BC
-
Jennifer Leigh Spillman, PSYD
-
Melody Hardway, RN-ANP
-
Iqnoor Bains, M.D
-
Lauren Baumgartner, MA, LPC
-
Jennifer Lee Boyd, PMHNP-BC
-
Jennifer Kristen Cook, MSN, APRN, PMHNP-BC
-
Jose Luis Cortes Jr., PA-C
-
Pradan A Nathan, M.D.
-
Raafae Syed Agha, MD
-
Magdalena Anna Berg, LPC
-
Jamon Blood, DO
-
Cassandra Boduch, MD
-
Jeremiah Brewer, DO
-
Gabrielle Bunch, LPC
-
John J Byun, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050119000528 | TX | Part B Supplier - Clinic/Group Practice | 5991754772 |
Receives reassigned benefits from 86 practitioners Practice locations: Huntsville, TX; Liberty, TX; Conroe, TX; Cleveland, TX |
National Provider Directory
Locations
2004 Truman St
Cleveland, TX 77327
Phone (281) 432-3000
1506 FM 2854 Rd
Conroe, TX 77304
Phone (936) 521-6151
706 Old Montgomery Rd
Conroe, TX 77301
Phone (936) 538-1102
103 N Thompson St
Conroe, TX 77301
Phone (936) 521-6260
610 N Loop 336 E
Conroe, TX 77301
Phone (281) 742-1142
1020 Riverwood Ct
Conroe, TX 77304
Phone (936) 521-6301
7045 Highway 75 S
Huntsville, TX 77340
Phone (936) 281-5800
2000 Panther Ln
Liberty, TX 77575
Phone (936) 334-0004
612 Highway 90
Liberty, TX 77575
Phone (936) 334-3299
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Yes |
Addresses
Primary practice location
233 SGT Ed Holcomb Blvd S
Conroe, TX 77304-1990
Mailing address
PO Box 3067
Conroe, TX 77305-3067
Phone (936) 521-6100
Other practice location 1
1506 Fm 2854 Rd
Conroe, TX 77304-2206
Phone (936) 521-6100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 081844501 | Medicaid | TX |
Other providers in Conroe, TX
- Tri-County Behavioral Healthcare
- Tri-County Behavioral Healthcare
- Tri-County Behavioral Healthcare
- Tri-County Behavioral Healthcare
- Tri-County Behavioral Healthcare
- Tri-County Behavioral Healthcare
- Tri-County County Behavioral Healthcare
- Tricia Punsalan MD PA
- Tricity Pain Associates PA
- Trinity Conroe Dental PLLC
All providers in Conroe, TX · Multi-Specialty Clinic/Center in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.