Provider Demographics
NPI:1790565372
Name:NEW BETHLEHEM LEARNING CENTER LLC
Entity Type:Organization
Organization Name:NEW BETHLEHEM LEARNING CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ADAMMA
Authorized Official - Middle Name:SHANNON
Authorized Official - Last Name:UGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-454-7840
Mailing Address - Street 1:5861 W GULF BANK RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77088-4120
Mailing Address - Country:US
Mailing Address - Phone:713-454-7840
Mailing Address - Fax:281-462-5067
Practice Address - Street 1:5861 W GULF BANK RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77088-4120
Practice Address - Country:US
Practice Address - Phone:713-454-7840
Practice Address - Fax:281-462-5067
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-02
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities