Idic Healthcare, Pllc

LBN: Idic Healthcare, Pllc
Idic Healthcare, Pllc is an health care organization with primary practice located at 627 W. 19Th St. Suite 203, Houston TX 77008-3613. The organization recently has 4 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Ambulatory Health Care Facilities / Multi-Specialty. Ambulatory Health Care Facilities / Multi-Specialty is the primary health care specialty. Idic Healthcare, Pllc can be contacted via phone (832) 248-4636, or through Houseworth, Steven L via phone (832) 248-4636.

Contact Information

Primary practice address
627 W. 19Th St. Suite 203 Houston TX 77008-3613
Phone: (832) 248-4636
Fax: (866) 804-7241
Website:
Map and Directions
Authorized official contact:
Name: Houseworth, Steven L PH.D., LMFT
Phone: (832) 248-4636

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1174966915
LBN Legal business name Idic Healthcare, Pllc
DBA Doing business as Idic Healthcare, Pllc
Authorized official Houseworth, Steven L PH.D., LMFT
Entity Organization
Organization subpart 1 No
Enumeration date Apr 11th, 2013
Last updated Sep 24th, 2018 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174966915 NPPES
Texas Other 31626 LBSW LICENSE NUMBER
Texas Other 5210 LBSW LICENSE NUMBER

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