Southern Comfort Behavioral Health Center

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

01607528 Issued in TX

Legal business name

SOUTHERN COMFORT BEHAVIORAL HEALTH CENTER

Practice address

7119 Village Way
Houston, TX 77087-2904

Phone

(832) 689-8770

NPI assigned

Oct 29, 2012

Organization subpart

No

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

Authorized official

Name

Cherrelle M Phillips

Title

Program Director

Phone

(832) 689-8770

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SOUTHERN COMFORT BHC Other name

Tax ID family

Southern Comfort Behavioral Health Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Southern Comfort Behavioral Health Center, LLC.

  • Clinical Social Worker
  • Houston, TX
  • NPI 1083957815
  NPD tax ID

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

{
    "created_epoch": "1351468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351468800000",
    "number": "1932453008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7119 VILLAGE WAY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770872904",
            "telephone_number": "832-689-8770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7119 VILLAGE WAY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770872904",
            "telephone_number": "832-689-8770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN COMFORT BEHAVIORAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-29",
        "last_updated": "2012-10-29",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "CHERRELLE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "832-689-8770"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "01607528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1427131242",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTHERN COMFORT BHC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Southeastern Eye Centers, PLLC
• Slaton Cade Souther
• Amanda Southerland
• Warren Allen Southerland, MD
• Southern Anesthesia Services, PLLC
• Southern Comfort Behavioral Health Center, LLC.
• Southern Dental at Heights PLLC
• Southern Dental at Palm Center PLLC
• Southern Dental at Spring Branch PLLC
• Southern Dental at Willowbrook PLLC

• Clinical Social Worker in Houston, TX
• Providers in Houston, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2012; 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.