Provider Demographics
NPI:1245418854
Name:INTERVENTION RESOURCES, INC
Entity Type:Organization
Organization Name:INTERVENTION RESOURCES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CONSTANCE
Authorized Official - Middle Name:K
Authorized Official - Last Name:AUSTIN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:281-461-6940
Mailing Address - Street 1:PO BOX 590328
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77259-0328
Mailing Address - Country:US
Mailing Address - Phone:281-461-6940
Mailing Address - Fax:281-461-6941
Practice Address - Street 1:16815 ROYAL CREST DR
Practice Address - Street 2:SUITE 140
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77058-2521
Practice Address - Country:US
Practice Address - Phone:281-461-6940
Practice Address - Fax:281-461-6941
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-06
Last Update Date:2008-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12463101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty