Provider Demographics
NPI:1710411665
Name:LEI BEHAVIORAL SERVICES LLC
Entity Type:Organization
Organization Name:LEI BEHAVIORAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LUCKY
Authorized Official - Middle Name:
Authorized Official - Last Name:IHENYEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-491-5382
Mailing Address - Street 1:6201 BONHOMME RD STE 266N
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-4375
Mailing Address - Country:US
Mailing Address - Phone:832-862-7997
Mailing Address - Fax:713-583-0722
Practice Address - Street 1:6201 BONHOMME RD STE 266N
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-4375
Practice Address - Country:US
Practice Address - Phone:919-491-5382
Practice Address - Fax:713-583-0722
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-18
Last Update Date:2023-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management