Provider Demographics
NPI:1477628451
Name:WHISPERS BEHAVIORAL HEALTH CENTER
Entity Type:Organization
Organization Name:WHISPERS BEHAVIORAL HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIE-ELISE
Authorized Official - Middle Name:
Authorized Official - Last Name:DU BUISSON
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:956-795-8325
Mailing Address - Street 1:5411 MCPHERSON RD # 252
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-6834
Mailing Address - Country:US
Mailing Address - Phone:956-795-8325
Mailing Address - Fax:956-795-8335
Practice Address - Street 1:8610 MCPHERSON RD STE 130
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78045-6306
Practice Address - Country:US
Practice Address - Phone:956-795-8325
Practice Address - Fax:956-795-8335
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX26604103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX86728AOtherBLUE CROSS BLUE SHIELD
TX=========OtherCHIPS
TX86728AOtherBLUE CROSS BLUE SHIELD
TX86728AOtherBLUE CROSS BLUE SHIELD
TX00951TMedicare ID - Type Unspecified