Provider Demographics
NPI:1720740194
Name:MACCHIAN SOLUTIONS
Entity Type:Organization
Organization Name:MACCHIAN SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:BRIDGETT
Authorized Official - Middle Name:
Authorized Official - Last Name:BOXLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-907-7716
Mailing Address - Street 1:16903 RED OAK DR STE 213
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090-3915
Mailing Address - Country:US
Mailing Address - Phone:713-907-7716
Mailing Address - Fax:
Practice Address - Street 1:16903 RED OAK DR STE 213
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-3915
Practice Address - Country:US
Practice Address - Phone:713-907-7716
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-12
Last Update Date:2021-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & AdolescentGroup - Multi-Specialty
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & BehavioralGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1902577083OtherNPI