Provider Demographics
NPI:1669536215
Name:OZUMBA, AMOS E (EDD, LMSW-AP,LCDC)
Entity type:Individual
Prefix:DR
First Name:AMOS
Middle Name:E
Last Name:OZUMBA
Suffix:
Gender:M
Credentials:EDD, LMSW-AP,LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6423 OAKHAM ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77085-2402
Mailing Address - Country:US
Mailing Address - Phone:713-527-0064
Mailing Address - Fax:713-527-8633
Practice Address - Street 1:176 UVALDE RD
Practice Address - Street 2:4608 MAIN
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77015-1506
Practice Address - Country:US
Practice Address - Phone:713-455-7008
Practice Address - Fax:713-455-4870
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-20
Last Update Date:2007-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX02069104100000X, 251B00000X, 171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No251B00000XAgenciesCase Management
No171M00000XOther Service ProvidersCase Manager/Care Coordinator