Provider Demographics
NPI:1669008009
Name:ESSENTIAL HEALTH, LLC
Entity Type:Organization
Organization Name:ESSENTIAL HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:LYONS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:678-883-6151
Mailing Address - Street 1:2211 NORFOLK ST STE 514
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77098-4056
Mailing Address - Country:US
Mailing Address - Phone:678-883-6151
Mailing Address - Fax:
Practice Address - Street 1:2211 NORFOLK ST STE 514
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77098-4056
Practice Address - Country:US
Practice Address - Phone:678-883-6151
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-17
Last Update Date:2020-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health