Provider Demographics
NPI:1659323285
Name:NEUROBEHAVIORAL RESOURCES, LTD.
Entity Type:Organization
Organization Name:NEUROBEHAVIORAL RESOURCES, LTD.
Other - Org Name:NEXUS NEURORECOVERY CENTER- CONROE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:LEIGH
Authorized Official - Last Name:CASSIDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-589-4136
Mailing Address - Street 1:1 RIVERWAY STE 700
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77056-1988
Mailing Address - Country:US
Mailing Address - Phone:713-355-6111
Mailing Address - Fax:
Practice Address - Street 1:9297 WAHRENBERGER RD
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77304-2441
Practice Address - Country:US
Practice Address - Phone:936-788-7770
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-16
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101044320700000X
TX000429320700000X
TX000915320700000X
TX00438320700000X
TX050029320700000X
323P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320700000XResidential Treatment FacilitiesResidential Treatment Facility, Physical Disabilities
No323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXHH0994OtherBLUE CROSS