Provider Demographics
NPI:1649538372
Name:CEST LA VIE INC
Entity type:Organization
Organization Name:CEST LA VIE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SERGE
Authorized Official - Middle Name:
Authorized Official - Last Name:TCHIBINDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-408-7722
Mailing Address - Street 1:12926 DAIRY ASHFORD RD STE 150
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-3293
Mailing Address - Country:US
Mailing Address - Phone:713-408-7722
Mailing Address - Fax:
Practice Address - Street 1:12926 DAIRY ASHFORD RD STE 150
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-3293
Practice Address - Country:US
Practice Address - Phone:713-408-7722
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-01
Last Update Date:2012-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)