Provider Demographics
NPI:1699364323
Name:ALPHA PSYCHIATRIC HEALTH LLC
Entity Type:Organization
Organization Name:ALPHA PSYCHIATRIC HEALTH LLC
Other - Org Name:ALPHA HEALTH PSYCHIATRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PMHNP
Authorized Official - Prefix:
Authorized Official - First Name:MERCY
Authorized Official - Middle Name:
Authorized Official - Last Name:OSAGHAE
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:281-917-0667
Mailing Address - Street 1:26622 COOK FIELD RD STE 700
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-1138
Mailing Address - Country:US
Mailing Address - Phone:281-917-0667
Mailing Address - Fax:
Practice Address - Street 1:26622 COOK FIELD RD STE 700
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-1138
Practice Address - Country:US
Practice Address - Phone:281-917-0667
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-17
Last Update Date:2021-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty