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MONTE NIDO TEXAS LLC NPI 1245704915


NPI Information

NPI: 1245704915
Provider Name: MONTE NIDO TEXAS, LLC

Doing Business As: CLEMENTINE HOUSTON

Classification: Clinic/Center - 261QM0855X
Entity Type: Organization

Specialization: Adolescent and Children Mental Health

CLIA Number: 45D2173447

Address:
15252 SADDLEWOOD DR
CONROE, TX
ZIP 77384
Phone: (305) 663-1876
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MONTE NIDO TEXAS, LLC is an adolescent and children mental health clinic center in Conroe, TX. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. MONTE NIDO TEXAS, LLC NPI is 1245704915. The provider is registered as an organization entity type.
The provider Is Doing Business As Clementine Houston.

The provider's business location address is:

15252 SADDLEWOOD DR
CONROE, TX
ZIP 77384-453
Phone: (305) 663-1876
Fax: (914) 479-5490

The provider's authorized official is Mike Bagley .
The authorized official title is Chief Financial Officer and has the following contact phone number (305) 663-1876.

The CLIA number assigned to this NPI record is 45D2173447 - other - general residential with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/16/2019 and was last updated on 4/3/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0855XClinic/CenterAdolescent and Children Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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