Provider Demographics
NPI:1518701499
Name:MENTAL HEALTH FIRST
Entity type:Organization
Organization Name:MENTAL HEALTH FIRST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:POLK
Authorized Official - Suffix:
Authorized Official - Credentials:NURSE PRACTITIONER
Authorized Official - Phone:713-202-8585
Mailing Address - Street 1:13520 LAKES OF CHAMPIONS BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:MONT BELVIEU
Mailing Address - State:TX
Mailing Address - Zip Code:77523-2901
Mailing Address - Country:US
Mailing Address - Phone:713-903-5761
Mailing Address - Fax:409-292-2100
Practice Address - Street 1:13520 LAKES OF CHAMPIONS BLVD STE 200
Practice Address - Street 2:
Practice Address - City:MONT BELVIEU
Practice Address - State:TX
Practice Address - Zip Code:77523-2901
Practice Address - Country:US
Practice Address - Phone:713-903-5761
Practice Address - Fax:409-292-2100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-24
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty