Provider Demographics
NPI:1043693989
Name:HOUSTON EMPOWERING MINDS YOUTH SERVICES
Entity Type:Organization
Organization Name:HOUSTON EMPOWERING MINDS YOUTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-605-6320
Mailing Address - Street 1:2526 BUSINESS CENTER DR
Mailing Address - Street 2:SUITE 331
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-2295
Mailing Address - Country:US
Mailing Address - Phone:804-605-6320
Mailing Address - Fax:
Practice Address - Street 1:2526 BUSINESS CENTER DR
Practice Address - Street 2:SUITE 331
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-2295
Practice Address - Country:US
Practice Address - Phone:804-605-6320
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-08
Last Update Date:2015-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty