Provider Demographics
NPI:1871006643
Name:HOUSTON INTIMACY AND ATTACHMENT INSTITUTE
Entity Type:Organization
Organization Name:HOUSTON INTIMACY AND ATTACHMENT INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR & THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:SHENA
Authorized Official - Middle Name:
Authorized Official - Last Name:TUBBS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-704-2252
Mailing Address - Street 1:16310 LUZERNE DR UNIT C
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-1726
Mailing Address - Country:US
Mailing Address - Phone:281-704-2252
Mailing Address - Fax:
Practice Address - Street 1:16310 LUZERNE DR UNIT C
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-1726
Practice Address - Country:US
Practice Address - Phone:281-704-2252
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-14
Last Update Date:2017-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health