Provider Demographics
NPI:1578093118
Name:THE MENTAL HEALTH CO-OP
Entity Type:Organization
Organization Name:THE MENTAL HEALTH CO-OP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR RESIDENTIAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ROSALIND
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:713-524-8705
Mailing Address - Street 1:503 SUL ROSS ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77006-5030
Mailing Address - Country:US
Mailing Address - Phone:713-524-8705
Mailing Address - Fax:713-521-0748
Practice Address - Street 1:503 SUL ROSS ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77006-5030
Practice Address - Country:US
Practice Address - Phone:713-524-8705
Practice Address - Fax:713-521-0748
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty