Provider Demographics
NPI:1417237231
Name:SPECIAL KIDS INCORPORATED
Entity Type:Organization
Organization Name:SPECIAL KIDS INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:MIGNON
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:BS, LCDC
Authorized Official - Phone:713-783-5437
Mailing Address - Street 1:PO BOX 2175
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77588-2175
Mailing Address - Country:US
Mailing Address - Phone:713-783-5437
Mailing Address - Fax:713-783-5437
Practice Address - Street 1:9001 AIRPORT BLVD
Practice Address - Street 2:707
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77061-3474
Practice Address - Country:US
Practice Address - Phone:713-783-5437
Practice Address - Fax:713-783-5437
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-24
Last Update Date:2016-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10003101YA0400X, 251B00000X, 251C00000X, 261QR0405X, 343900000X, 347C00000X, 385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251B00000XAgenciesCase Management
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)Group - Multi-Specialty
No347C00000XTransportation ServicesPrivate Vehicle
No385H00000XRespite Care FacilityRespite Care