Provider Demographics
NPI:1760989719
Name:COLLINS NATIONAL BEHAVIORAL HEALTH, INC
Entity Type:Organization
Organization Name:COLLINS NATIONAL BEHAVIORAL HEALTH, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:COLLINS
Authorized Official - Middle Name:CHINEDU
Authorized Official - Last Name:O'KEHIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-804-8180
Mailing Address - Street 1:7726 CANDLEGREEN LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77071-2707
Mailing Address - Country:US
Mailing Address - Phone:713-995-7300
Mailing Address - Fax:
Practice Address - Street 1:7726 CANDLEGREEN LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77071-2707
Practice Address - Country:US
Practice Address - Phone:713-995-7300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-06
Last Update Date:2018-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX34083101YA0400X, 103T00000X, 103TA0700X, 103TB0200X, 103TC1900X, 251B00000X, 251C00000X, 373H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No103TA0700XBehavioral Health & Social Service ProvidersPsychologistAdult Development & AgingGroup - Multi-Specialty
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & BehavioralGroup - Multi-Specialty
No251B00000XAgenciesCase ManagementGroup - Multi-Specialty
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No373H00000XNursing Service Related ProvidersDay Training/Habilitation SpecialistGroup - Multi-Specialty