Provider Demographics
NPI:1619175841
Name:BEHAVIORAL REHABILITATION SOLUTIONS, LP
Entity Type:Organization
Organization Name:BEHAVIORAL REHABILITATION SOLUTIONS, LP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STUART
Authorized Official - Middle Name:J
Authorized Official - Last Name:NATHAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:713-914-0277
Mailing Address - Street 1:2450 FONDREN RD
Mailing Address - Street 2:312
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-2318
Mailing Address - Country:US
Mailing Address - Phone:713-914-0277
Mailing Address - Fax:713-789-7351
Practice Address - Street 1:2450 FONDREN RD
Practice Address - Street 2:312
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-2318
Practice Address - Country:US
Practice Address - Phone:713-914-0277
Practice Address - Fax:713-914-0277
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-10
Last Update Date:2008-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19656101Y00000X
TX14397101Y00000X
TX23421103TC0700X, 103TR0400X
TX22630103TR0400X
TX23367174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No103TR0400XBehavioral Health & Social Service ProvidersPsychologistRehabilitationGroup - Multi-Specialty