Provider Demographics
| NPI: | 1477880391 |
|---|---|
| Name: | WRAP AROUND HEALTHCARE MANAGEMENT, LLC |
| Entity Type: | Organization |
| Organization Name: | WRAP AROUND HEALTHCARE MANAGEMENT, LLC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | CFO |
| Authorized Official - Prefix: | MRS |
| Authorized Official - First Name: | STEPHANIE |
| Authorized Official - Middle Name: | RENEE |
| Authorized Official - Last Name: | JENKINS |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | MED |
| Authorized Official - Phone: | 281-993-1895 |
| Mailing Address - Street 1: | 414 BAYOU RD |
| Mailing Address - Street 2: | |
| Mailing Address - City: | LA MARQUE |
| Mailing Address - State: | TX |
| Mailing Address - Zip Code: | 77568-4135 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 281-993-1895 |
| Mailing Address - Fax: | 281-993-9785 |
| Practice Address - Street 1: | 1100 GREENS PKWY STE 300 |
| Practice Address - Street 2: | |
| Practice Address - City: | HOUSTON |
| Practice Address - State: | TX |
| Practice Address - Zip Code: | 77067-4228 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 281-875-9122 |
| Practice Address - Fax: | 281-875-9142 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | Yes |
| Parent Organization LBN: | WRAP AROUND HEALTHCARE MANAGEMENT, LLC |
| Parent Organization TIN: | <UNAVAIL> |
| Enumeration Date: | 2009-11-13 |
| Last Update Date: | 2010-05-10 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | Mental Health | Group - Single Specialty |
| No | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) | Group - Single Specialty |
| No | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | Professional | Group - Single Specialty |
| No | 103T00000X | Behavioral Health & Social Service Providers | Psychologist | Group - Single Specialty | |
| No | 103TA0700X | Behavioral Health & Social Service Providers | Psychologist | Adult Development & Aging | Group - Single Specialty |
| No | 103TC0700X | Behavioral Health & Social Service Providers | Psychologist | Clinical | Group - Single Specialty |
| No | 103TF0000X | Behavioral Health & Social Service Providers | Psychologist | Family | Group - Single Specialty |
| No | 103TP0016X | Behavioral Health & Social Service Providers | Psychologist | Prescribing (Medical) | Group - Single Specialty |
| No | 103TP2701X | Behavioral Health & Social Service Providers | Psychologist | Group Psychotherapy | Group - Single Specialty |
| No | 103TS0200X | Behavioral Health & Social Service Providers | Psychologist | School | Group - Single Specialty |
| No | 104100000X | Behavioral Health & Social Service Providers | Social Worker | Group - Single Specialty | |
| No | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | Clinical | Group - Single Specialty |
| No | 1041S0200X | Behavioral Health & Social Service Providers | Social Worker | School | Group - Single Specialty |
| No | 106H00000X | Behavioral Health & Social Service Providers | Marriage & Family Therapist | Group - Single Specialty |
