Provider Demographics
NPI:1205293453
Name:ADD HEALTH AND WELLNESS OF THE WOODLANDS, LLC
Entity type:Organization
Organization Name:ADD HEALTH AND WELLNESS OF THE WOODLANDS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:M
Authorized Official - Last Name:HOLUB
Authorized Official - Suffix:
Authorized Official - Credentials:MED
Authorized Official - Phone:281-528-4226
Mailing Address - Street 1:2700 RESEARCH FOREST DR #130
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77381
Mailing Address - Country:US
Mailing Address - Phone:281-528-4226
Mailing Address - Fax:281-419-0921
Practice Address - Street 1:2700 RESEARCH FOREST DR #130
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77381
Practice Address - Country:US
Practice Address - Phone:281-528-4226
Practice Address - Fax:281-419-0921
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-19
Last Update Date:2020-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101YA0400X
TX65139101YM0800X
TX66260101YM0800X
TX70873101YM0800X
TX76345101YM0800X
TX36831103TC0700X
TX34971103TC0700X
TX36241103TC0700X
TX202960106H00000X
TXF18912084P0800X
TX24752103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty