Provider Demographics
NPI:1083878391
Name:DEVIATIONS, INC.
Entity Type:Organization
Organization Name:DEVIATIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/SECRETARY/TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:JANET
Authorized Official - Middle Name:CLAIRE
Authorized Official - Last Name:NICHOLASAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-882-4268
Mailing Address - Street 1:26203 OAKRIDGE DRIVE
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380
Mailing Address - Country:US
Mailing Address - Phone:713-882-4268
Mailing Address - Fax:
Practice Address - Street 1:15 RANCH CREEK WAY
Practice Address - Street 2:
Practice Address - City:MAGNOLIA
Practice Address - State:TX
Practice Address - Zip Code:77354
Practice Address - Country:US
Practice Address - Phone:713-882-4268
Practice Address - Fax:281-292-2365
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-16
Last Update Date:2008-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15464101Y00000X
TX1480101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty