Provider Demographics
NPI:1891485595
Name:AMANA HEALTHCARE SERVICES LLC
Entity Type:Organization
Organization Name:AMANA HEALTHCARE SERVICES LLC
Other - Org Name:AMANA BEHAVORIAL HEALTH
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:WESUE
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:HARMON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-221-6067
Mailing Address - Street 1:20723 BANNER MEADOW LN
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-4521
Mailing Address - Country:US
Mailing Address - Phone:952-221-6067
Mailing Address - Fax:
Practice Address - Street 1:20723 BANNER MEADOW LN
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-4521
Practice Address - Country:US
Practice Address - Phone:952-221-6067
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-08
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251B00000XAgenciesCase Management
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty