Provider Demographics
NPI:1841810751
Name:NL MENTAL HEALTH CARE LLC
Entity type:Organization
Organization Name:NL MENTAL HEALTH CARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DNP,PMHNP
Authorized Official - Prefix:DR
Authorized Official - First Name:NKECHI
Authorized Official - Middle Name:LAURETTA
Authorized Official - Last Name:UFONDU
Authorized Official - Suffix:
Authorized Official - Credentials:DR
Authorized Official - Phone:713-430-6585
Mailing Address - Street 1:8310 SOLITUDE HILL LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-1489
Mailing Address - Country:US
Mailing Address - Phone:713-430-6585
Mailing Address - Fax:
Practice Address - Street 1:8310 SOLITUDE HILL LN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-1489
Practice Address - Country:US
Practice Address - Phone:713-430-6585
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-21
Last Update Date:2020-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)