Provider Demographics
NPI:1265259592
Name:HUMBLE BEHAVIORAL HEALTH LLC
Entity type:Organization
Organization Name:HUMBLE BEHAVIORAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RUKAYAT
Authorized Official - Middle Name:ADESOLA
Authorized Official - Last Name:OYEGUNLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-323-9828
Mailing Address - Street 1:7610 WILDRYE MEADOW LN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77493-4781
Mailing Address - Country:US
Mailing Address - Phone:281-323-9828
Mailing Address - Fax:
Practice Address - Street 1:7610 WILDRYE MEADOW LN
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77493-4781
Practice Address - Country:US
Practice Address - Phone:281-323-9828
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-26
Last Update Date:2024-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredGroup - Single Specialty
No251B00000XAgenciesCase Management