Provider Demographics
NPI:1760427512
Name:MENELIK GROUP, LLC
Entity Type:Organization
Organization Name:MENELIK GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EHAVIOR &SOCIAL SERVICES DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:TIMOTHY
Authorized Official - Last Name:WOODARD
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:713-695-3742
Mailing Address - Street 1:PO BOX 8747
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77249-8747
Mailing Address - Country:US
Mailing Address - Phone:713-695-3742
Mailing Address - Fax:713-695-3742
Practice Address - Street 1:1310 FRAWLEY ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77009-3428
Practice Address - Country:US
Practice Address - Phone:713-695-3742
Practice Address - Fax:713-695-3742
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty